Organization Active NPI

Paramount Medical Group, P.C.

  • Clinical Medical Laboratory
  • Warren, MI
National Provider Identifier
1356783088
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
23D2023134 Issued in MI
Legal business name
PARAMOUNT MEDICAL GROUP, P.C.
Practice address
27560 Hoover Rd
Warren, MI 48093-4505
Phone
(586) 757-6400
Fax
(586) 757-0763
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Dr. Ghaith M Ibrahim, M.D.NPI 1932113438
Title
President
Phone
(586) 757-6400

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)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 23D2023134 MI Primary

Addresses

Primary practice location

27560 Hoover Rd
Warren, MI 48093-4505

Mailing address

27560 Hoover Rd
Warren, MI 48093-4505
Phone (586) 757-6400

Other identifiers 1

IdentifierTypeStateIssuer
700E03492OtherMIBLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1356783088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27560 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934505",
            "telephone_number": "586-757-6400",
            "fax_number": "586-757-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27560 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934505",
            "telephone_number": "586-757-6400",
            "fax_number": "586-757-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "GHAITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-757-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D2023134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "700E03492",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.