Organization Active NPI

George C Hawrot PLLC

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1326318338
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
GH048271 Issued in MI
Legal business name
GEORGE C HAWROT PLLC
Practice address
3815 Pelham Rd.
Suite 5
Dearborn, MI 48124-4146
Phone
(313) 624-8400
Fax
(313) 624-8404
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Mrs. Carolyn S Melville
Title
Office Manager
Phone
(313) 624-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X GH048271 MI Primary

Addresses

Primary practice location

3815 Pelham Rd.
Suite 5
Dearborn, MI 48124-4146

Mailing address

3815 Pelham Rd.
Suite 5
Dearborn, MI 48124-4146
Phone (313) 624-8400

Other identifiers 3

IdentifierTypeStateIssuer
4788427MedicaidMI
P00293891OtherMIRAILROAD MEDICARE
1109515041OtherMIBCBS

Other names 1

  • GEORGE C. HAWROT M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

4700 Greenfield Rd
Ste 200C
Dearborn, MI 48126
Phone (313) 624-8400

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1326318338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 PELHAM RD.",
            "address_2": "SUITE 5",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244146",
            "telephone_number": "313-624-8400",
            "fax_number": "313-624-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 PELHAM RD.",
            "address_2": "SUITE 5",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244146",
            "telephone_number": "313-624-8400",
            "fax_number": "313-624-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE C HAWROT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "MELVILLE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-624-8400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "GH048271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4788427",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00293891",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1109515041",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEORGE C. HAWROT M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.