Organization Active NPI

Sterling Medical Clinic PLLC

  • General Practice Physician
  • White Lake, MI
National Provider Identifier
1295967008
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
STERLING MEDICAL CLINIC PLLC
Practice address
8080 Cooley Lake Rd
White Lake, MI 48386-4559
Phone
(248) 363-4195
NPI assigned
Aug 12, 2009
Organization subpart
Yes
Parent organization
STERLING MEDICAL CLINIC PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Brent Smith, DO
Title
Medical Director
Phone
(248) 363-4195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8080 Cooley Lake Rd
White Lake, MI 48386-4559

Mailing address

30781 Stephenson Hwy
Madison HTS, MI 48071-1618
Phone (248) 583-8922

Other names 1

  • Union Lake Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Sterling Medical Clinic PLLC

Locations

8080 Cooley Lake Rd
White Lake, MI 48386
Phone (248) 363-4195

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": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1295967008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30781 STEPHENSON HWY",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480711618",
            "telephone_number": "248-583-8922",
            "fax_number": "248-583-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 COOLEY LAKE RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483864559",
            "telephone_number": "248-363-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING MEDICAL CLINIC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STERLING MEDICAL CLINIC PLLC",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-363-4195",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Lake Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.