Active NPI
Sterling Family Medicine PC
- Family Medicine Physician
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301083381
- Legal business name
- STERLING FAMILY MEDICINE PC
- Practice address
- 2539 E 12 Mile Rd
Warren, MI 48092-5648 - Phone
- (586) 558-5075
- NPI assigned
- Mar 28, 2013
- Last updated
- Mar 28, 2013
- 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
- Dr. Oleh J Bolukh, M.D.
- Title
- President
- Phone
- (586) 558-5075
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301083381 | MI | Primary |
Addresses
Primary practice location
2539 E 12 Mile Rd
Warren, MI 48092-5648
Mailing address
2539 E 12 Mile Rd
Warren, MI 48092-5648
Phone (586) 558-5075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2058097 | Sterling Family Medicine PC | Certificate of waiver | Apr 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
2539 E 12 Mile Rd
Warren, MI 48092
Phone (586) 558-2981
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Warren, MI
- NPI 1598941148
-
- Ophthalmology Physician
- Warren, MI
- NPI 1497769624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364428800000",
"number": "1326381393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2539 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480925648",
"telephone_number": "586-558-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2539 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480925648",
"telephone_number": "586-558-5075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STERLING FAMILY MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-28",
"last_updated": "2013-03-28",
"status": "A",
"authorized_official_last_name": "BOLUKH",
"authorized_official_first_name": "OLEH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-558-5075",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301083381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
- Christine A Stein, PA
- Tasharra Latrice Stephen-Green, NURSE PRACTITIONER
- Blessing Stephen, M.D
- Denise Ashley Stephens
- Kniangeles Stepney
- Sterling Therapy, P.C.
- Sterling Warren Pharmacy Inc (Sterling Savmor Pharmacy)
- Sterling-Warren Pharmacy
- Sterlingdental 3 DDS P.C. (Sterling Dental)
- Steven a Kushner DO PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.