Organization Active NPI

Medic-One Visiting Physician Service PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Sterling Heights, MI
National Provider Identifier
1295768968
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
5101007369 Issued in MI
Legal business name
MEDIC-ONE VISITING PHYSICIAN SERVICE PC
Practice address
33424 Dequindre Rd
Suite a
Sterling Heights, MI 48310-5878
Phone
(586) 983-5687
Fax
(586) 983-5517
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arthur Bouier, D.O.
Title
Medical Director
Phone
(586) 983-5687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 5101007369 MI Primary

Addresses

Primary practice location

33424 Dequindre Rd
Suite a
Sterling Heights, MI 48310-5878

Mailing address

33424 Dequindre Rd
Suite a
Sterling Heights, MI 48310-5878
Phone (586) 983-5687

National Provider Directory

National Provider Directory

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295768968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33424 DEQUINDRE RD",
            "address_2": "SUITE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105878",
            "telephone_number": "586-983-5687",
            "fax_number": "586-983-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33424 DEQUINDRE RD",
            "address_2": "SUITE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105878",
            "telephone_number": "586-983-5687",
            "fax_number": "586-983-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC-ONE VISITING PHYSICIAN SERVICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOUIER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "586-983-5687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "5101007369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.