Active NPI
Tri County Endocrinology & Nuclear Medicine PC
- Endocrinology, Diabetes & Metabolism Physician
- Warren, MI
National Provider Identifier
1255363388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- TRI COUNTY ENDOCRINOLOGY & NUCLEAR MEDICINE PC
- Practice address
- 14049 E 13 Mile Rd
Suite 6
Warren, MI 48088-5876 - Phone
- (586) 294-4820
- Fax
- (586) 294-7881
- NPI assigned
- Jul 7, 2006
- Last updated
- Jul 16, 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
- Mrs. Elaine Rose Elandt
- Title
- Office Administrator
- Phone
- (586) 294-4820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
14049 E 13 Mile Rd
Suite 6
Warren, MI 48088-5876
Mailing address
14049 E 13 Mile Rd
Suite 6
Warren, MI 48088-5876
Phone (586) 294-4820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H26347 | Other | MI | BCBS GRP NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070719000442 | MI | Part B Supplier - Clinic/Group Practice | 7618078734 | Practice locations: Sterling Heights, MI |
National Provider Directory
National Provider DirectoryLocations
38731 Mound Rd
Sterling Hts, MI 48310
Phone (586) 939-8480
38731 Mound Rd
Ste 200
Sterling Hts, MI 48310
Phone (586) 939-8480
14049 E 13 Mile Rd
Ste 6
Warren, MI 48088
Phone (586) 294-4820
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Nurse Practitioner
- Troy, MI
- NPI 1538864392
-
- Adult Health Nurse Practitioner
- Bloomfield Hills, MI
- NPI 1134181787
-
- Physician Assistant
- Sterling HTS, MI
- NPI 1558797563
-
- Registered Dietitian
- Madison Heights, MI
- NPI 1962625012
-
- Physician Assistant
- East Lansing, MI
- NPI 1346739224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216166400000",
"number": "1255363388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14049 E 13 MILE RD",
"address_2": "SUITE 6",
"city": "WARREN",
"state": "MI",
"postal_code": "480885876",
"telephone_number": "586-294-4820",
"fax_number": "586-294-7881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14049 E 13 MILE RD",
"address_2": "SUITE 6",
"city": "WARREN",
"state": "MI",
"postal_code": "480885876",
"telephone_number": "586-294-4820",
"fax_number": "586-294-7881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI COUNTY ENDOCRINOLOGY & NUCLEAR MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2008-07-16",
"status": "A",
"authorized_official_last_name": "ELANDT",
"authorized_official_first_name": "ELAINE",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "586-294-4820",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GRP NO",
"identifier": "0H26347",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.