The Grosse Pointe Medical Group, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THE GROSSE POINTE MEDICAL GROUP, PLLC

Practice address

15120 Kercheval Ave
Grosse Pointe Park, MI 48230

Phone

(313) 469-8281

Fax

(313) 458-8864

NPI assigned

Mar 18, 2010

Last updated

Feb 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan M. Schwartz, MD

Title

Sole Member

Phone

(313) 469-8281

Specialties & licenses 1

Addresses

Other names 1

• Meridian Family Physicians, PLLC Former legal business name

Locations

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1326362484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15120 KERCHEVAL AVE",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "48230",
            "telephone_number": "313-469-8281",
            "fax_number": "313-458-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15120 KERCHEVAL AVE",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "48230",
            "telephone_number": "313-469-8281",
            "fax_number": "313-458-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROSSE POINTE MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "313-469-8281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Family Physicians, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Internal Medicine Physician in Grosse Pointe Park, MI
• Providers in Grosse Pointe Park, 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 Feb 11, 2014; 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.