Active NPI
George C Hawrot PLLC
- Internal Medicine Physician
- Dearborn, MI
National Provider Identifier
1326318338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- GH048271
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4788427 | Medicaid | MI | |
| P00293891 | Other | MI | RAILROAD MEDICARE |
| 1109515041 | Other | MI | BCBS |
Other names 1
- GEORGE C. HAWROT M.D.
National Provider Directory
National Provider DirectoryLocations
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.