Michigan Birdie Health PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MICHIGAN BIRDIE HEALTH PC

Practice address

40600 Ann Arbor Rd E Ste 201
Plymouth, MI 48170-4675

Phone

(347) 510-6956

NPI assigned

Feb 20, 2024

Last updated

Jun 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruno Van Tuykom

Title

Authorized Official

Phone

(347) 510-6956

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audrey Ann Lance, M.D.

  • Obstetrics & Gynecology Physician
  • Ann Arbor, MI
  • NPI 1376749366
  NPD (past)
• Nicole Shin, NP

  • Women's Health Nurse Practitioner
  • Los Altos Hills, CA
  • NPI 1649611237
  NPD (past)

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1225893050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 11TH ST APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40600 ANN ARBOR RD E STE 201",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704675",
            "telephone_number": "347-510-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN BIRDIE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "VAN TUYKOM",
        "authorized_official_first_name": "BRUNO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "347-510-6956"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Mheiny
• Anna Miah
• Megan Micallef
• Pamela Micallef, MA, LLPC
• Michael a. Hartman DPM.PC
• Michigan Health Psychologists PLLC
• Michigan Infusion and Licensed Healthcare
• Michigan Infusion Services and Licensed Healthcare
• Michigan Life Medicine
• Michigan Medical Associates, P.C.

• Internal Medicine Physician in Plymouth, MI
• Providers in Plymouth, 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 Jun 27, 2024; 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.