Organization Active NPI

Malarsh Family Practice PLLC

  • Preferred Provider Organization
  • Farmington Hills, MI
National Provider Identifier
1225218738
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
AM069572 Issued in MI
Legal business name
MALARSH FAMILY PRACTICE PLLC
Practice address
31731 Northwestern Hwy
Suite 156 W
Farmington Hills, MI 48334-1654
Phone
(313) 920-2666
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Felisa Bargainer
Title
Billing Manager
Phone
(313) 920-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X AM069572 MI Primary

Addresses

Primary practice location

31731 Northwestern Hwy
Suite 156 W
Farmington Hills, MI 48334-1654

Mailing address

31731 Northwestern Hwy
Suite 156 W
Farmington Hills, MI 48334-1654
Phone (313) 920-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080213000534 MI Part B Supplier - Clinic/Group Practice 2567545593 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, MI

National Provider Directory

National Provider Directory

Locations

31731 Northwestern Hwy
Ste 156W
Farmington Hills, MI 48334
Phone (248) 539-7751

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1225218738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31731 NORTHWESTERN HWY",
            "address_2": "SUITE 156 W",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341654",
            "telephone_number": "313-920-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31731 NORTHWESTERN HWY",
            "address_2": "SUITE 156 W",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341654",
            "telephone_number": "313-920-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALARSH FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "BARGAINER",
        "authorized_official_first_name": "FELISA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "313-920-2666"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "AM069572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.