McAuley Clinic Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MCAULEY CLINIC CORPORATION

Practice address

5333 McAuley Dr
Suite 4015
Ypsilanti, MI 48197-1014

Phone

(734) 712-5733

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rolland Mambourg, M.D.

Title

Vice President Physician Services

Phone

(734) 712-7358

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225043011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR",
            "address_2": "SUITE 4015",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR",
            "address_2": "SUITE 4015",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971014",
            "telephone_number": "734-712-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCAULEY CLINIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAMBOURG",
        "authorized_official_first_name": "ROLLAND",
        "authorized_official_title_or_position": "VICE PRESIDENT PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "734-712-7358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Mazzeo, MD
• Michael Charles Mazzie, LMSW
• Brandon Scott McAleer, NP
• Martha McAleer, NP
• Jennifer McArdle, PA
• Lauren McBain
• Lydia DH McBurrows, MS RN CPNP
• Leah MJ McCall, MD
• Angie McCalla
• Benjamin McCallister Jr., MD

• Internal Medicine Physician in Ypsilanti, MI
• Providers in Ypsilanti, 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 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.