Metro Shores Internal Medicine, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

METRO SHORES INTERNAL MEDICINE, PLLC

Practice address

18580 Fort St
Riverview, MI 48193-7442

Phone

(734) 479-8800

Fax

(734) 283-4861

NPI assigned

Jul 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Holle J Janeski, D.O.NPI 1508864174

Title

Physician/Owner

Phone

(734) 479-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Holle J Janeski, DO

  • Internal Medicine Physician
  • Riverview, MI
  • NPI 1508864174
  Medicare reassignment Care Compare group NPD Authorized official
• Karla Marie Kasza, D.O.

  • Internal Medicine Physician
  • Riverview, MI
  • NPI 1891006987
  Medicare reassignment Care Compare group NPD
• Lisa Hansen, NP

  • Nurse Practitioner
  • Royal Oak, MI
  • NPI 1194229351
  NPD (past)
• Trisha Thomas Tucker, AGACNP-BC, FNP-BC

  • Nurse Practitioner
  • Riverview, MI
  • NPI 1235788035
  NPD (past)
• Amy Van Dusen, PA-C

  • Medical Physician Assistant
  • Riverview, MI
  • NPI 1942520119
  NPD (past)

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1215249594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18580 FORT STREET",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937442",
            "telephone_number": "734-479-8800",
            "fax_number": "734-283-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18580 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937442",
            "telephone_number": "734-479-8800",
            "fax_number": "734-283-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO SHORES INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "JANESKI",
        "authorized_official_first_name": "HOLLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "734-479-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward M Mann, MSPT
• Mastrofrancesco Afc Inc
• Christina Mazza
• David Harley McCallum, N.P.
• Medical Service Company
• Lorraine Mexicotte
• Michael a Freedman D.O. P.C.
• Anthony Michael
• Kristen Miller-Lauzon, DDS
• Ida Mae Miller

• Internal Medicine Physician in Riverview, MI
• Providers in Riverview, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.