Organization Active NPI

McRipley Medical Group PC

  • Internal Medicine Physician
  • Bloomfield Hills, MI
National Provider Identifier
1215010244
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CM029141 Issued in MI
Legal business name
MCRIPLEY MEDICAL GROUP PC
Practice address
43700 Woodward Ave
Suite 105
Bloomfield Hills, MI 48302-5058
Phone
(248) 253-9330
Fax
(248) 253-1910
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Clarence McRipley Jr., MD
Title
Owner
Phone
(248) 253-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X CM029141 MI Primary

Addresses

Primary practice location

43700 Woodward Ave
Suite 105
Bloomfield Hills, MI 48302-5058

Mailing address

43700 Woodward Ave
Suite 105
Bloomfield Hills, MI 48302-5058
Phone (248) 253-9330

National Provider Directory

National Provider Directory

Locations

43700 Woodward Ave
Ste 105
Bloomfld Hls, MI 48302
Phone (248) 253-9330

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215010244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVE",
            "address_2": "SUITE 105",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025058",
            "telephone_number": "248-253-9330",
            "fax_number": "248-253-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVE",
            "address_2": "SUITE 105",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025058",
            "telephone_number": "248-253-9330",
            "fax_number": "248-253-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCRIPLEY MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCRIPLEY",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-253-9330",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "CM029141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.