Active NPI
Steven D Rimar MD PC
- Vascular Surgery Physician
- Troy, MI
National Provider Identifier
1225204118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- SR048582
- Legal business name
- STEVEN D RIMAR MD PC
- Practice address
- 4600 Investment Dr
Suite 250
Troy, MI 48098-6365 - Phone
- (248) 267-5005
- Fax
- (248) 267-5006
- NPI assigned
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Joanne T Craddock
- Title
- Billing Manager
- Phone
- (248) 267-5005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | SR048582 | MI | Primary |
Addresses
Primary practice location
4600 Investment Dr
Suite 250
Troy, MI 48098-6365
Mailing address
4600 Investment Dr
Suite 250
Troy, MI 48098-6365
Phone (248) 267-5005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104255830 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
4600 Investment Dr
Ste 250
Troy, MI 48098
Phone (248) 267-5005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1225204118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 INVESTMENT DR",
"address_2": "SUITE 250",
"city": "TROY",
"state": "MI",
"postal_code": "480986365",
"telephone_number": "248-267-5005",
"fax_number": "248-267-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 INVESTMENT DR",
"address_2": "SUITE 250",
"city": "TROY",
"state": "MI",
"postal_code": "480986365",
"telephone_number": "248-267-5005",
"fax_number": "248-267-5006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN D RIMAR MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "CRADDOCK",
"authorized_official_first_name": "JOANNE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "248-267-5005",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "SR048582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104255830",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.