Maple Millennium Medical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

506851 Issued in MI

Legal business name

MAPLE MILLENNIUM MEDICAL CENTER LLC

Practice address

5456 15 Mile Rd
Sterling Heights, MI 48310-5110

Phone

(586) 977-7246

NPI assigned

Jan 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pramod Kerkar, MDNPI 1336116078

Title

Owner

Phone

(586) 977-7246

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pramod Kerkar, MD

  • Pain Medicine (Anesthesiology) Physician
  • Sterling HTS, MI
  • NPI 1336116078
  NPD (past) Authorized official
• Wendy K Howard, PA-C

  • Medical Physician Assistant
  • Sterling Heights, MI
  • NPI 1326170952
  NPD (past)
• Rakesh V Vakhariya, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Sterling Heights, MI
  • NPI 1184833667
  NPD (past)
• Angela E Young, PA-C

  • Physician Assistant
  • Rochester, MI
  • NPI 1427026921
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1194862656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5456 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105110",
            "telephone_number": "586-977-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5456 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105110",
            "telephone_number": "586-977-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE MILLENNIUM MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "KERKAR",
        "authorized_official_first_name": "PRAMOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-977-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "506851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "23C0001058",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "40346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Tagalicud Manuson, RN
• Emma Lavinia Manuszak, NP
• Michelle Mapes
• Sarah Jean Mapili, PT
• Maple Crest Medical PLC
• Lillian R Maples, LMSW
• Mapleview Laboratory, Inc.
• Mapleview Pharmacy LLC
• Amber Unique-Muhammad Mapps
• Philomina Marangattil

• Ambulatory Surgical Clinic/Center in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.