NPIMap

Organization Active NPI

DMC Orthopaedic Billing Associates, LLC

Doing business as DMC Billing Associates, LLC

  • Family Medicine Physician
  • Plymouth, MI
National Provider Identifier
1255517272
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DMC ORTHOPAEDIC BILLING ASSOCIATES, LLC
Doing business as
DMC Billing Associates, LLC
Practice address
9398 N Lilley Rd
Plymouth, MI 48170-4610
Phone
(734) 254-0453
Fax
(734) 459-1855
NPI assigned
Jan 22, 2008
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
DMC ORTHOPAEDIC BILLING ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Michael Lacusta
Title
Exec VP
Phone
(313) 745-0770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207PS0010X
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9398 N Lilley Rd
Plymouth, MI 48170-4610

Mailing address

PO Box 673671
Detroit, MI 48267-3671
Phone (810) 720-5715

Other names 1

  • DMC Billing Associates, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Detroit Medical Center8 organizations share this tax ID, including this one
Part of
Detroit Medical Center

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1255517272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673671",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482673671",
            "telephone_number": "810-720-5715",
            "fax_number": "810-600-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9398 N LILLEY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704610",
            "telephone_number": "734-254-0453",
            "fax_number": "734-459-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMC ORTHOPAEDIC BILLING ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DMC ORTHOPAEDIC BILLING ASSOCIATES, LLC",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "LACUSTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXEC VP",
        "authorized_official_telephone_number": "313-745-0770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMC Billing Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.