Organization Active NPI

Steven D Rimar MD PC

  • Vascular Surgery Physician
  • Troy, MI
National Provider Identifier
1225204118
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
SR048582 Issued in MI
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

Updated by the provider on May 1, 2008

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)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
104255830MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.