Southeast Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101012342 Issued in MI

Legal business name

SOUTHEAST INTERNAL MEDICINE PLLC

Practice address

29159 Helman Blvd
Brownstown, MI 48183

Phone

(734) 671-5100

Fax

(734) 671-7664

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Margaret McQuiston, DONPI 1487652004

Title

Owner Physician

Phone

(734) 671-5100

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret A McQuiston

  • Internal Medicine Physician
  • Brownstown, MI
  • NPI 1487652004
  Medicare reassignment Care Compare group NPD Authorized official
• Judy A Sorovetz, DO

  • Internal Medicine Physician
  • Brownstown, MI
  • NPI 1235137803
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1326046418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29159 HELMAN",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481830172",
            "telephone_number": "734-671-5100",
            "fax_number": "734-671-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29159 HELMAN BLVD",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "48183",
            "telephone_number": "734-671-5100",
            "fax_number": "734-671-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "MCQUISTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "734-671-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101012342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4323064",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4439990",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda G Savoie
• Shine Home Care LLC
• Brian Simon, PTA
• Sukhdeep Singh
• Judy A Sorovetz, DO
• Julie A Spuhler, OT
• Jennifer Stefani, PT
• Sunshine Therapy Services LLC
• Susan H Abed DDS Ms PC
• T L Care, Inc.

• Internal Medicine Physician in Brownstown, MI
• Providers in Brownstown, 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 Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.