Macomb Medical and Wellness Center PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MACOMB MEDICAL AND WELLNESS CENTER PLLC

Doing business as

Macomb Medical and Wellness C

Practice address

29135 Ryan Rd Ste E
Warren, MI 48092-4282

Phone

(248) 951-8928

Fax

(248) 951-2978

NPI assigned

Apr 28, 2017

Last updated

Dec 20, 2023By 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. Jean-Luc Michel, M.D.NPI 1457302747

Title

Owner

Phone

(586) 393-5439

Specialties & licenses 1

Addresses

Other names 1

• MACOMB MEDICAL AND WELLNESS C Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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.

• Jean-Luc Michel, MD

  • General Practice Physician
  • Warren, MI
  • NPI 1457302747
  Medicare reassignment NPD Authorized official
• Virgil Mearn Williams Jr.

  • Clinical Social Worker
  • West Bloomfield, MI
  • NPI 1114165339
  Medicare reassignment NPD
• Doreen Michel, MD

  • General Practice Physician
  • Greenacres, FL
  • NPI 1366638249

  MI

  Medicare reassignment NPD
• Immacula Michel, MD

  • Family Medicine Physician
  • West Palm Beach, FL
  • NPI 1598716870
  NPD (past)

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1356876106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29135 RYAN RD STE E",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924282",
            "telephone_number": "248-951-8928",
            "fax_number": "248-951-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29135 RYAN RD STE E",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924282",
            "telephone_number": "248-951-8928",
            "fax_number": "248-951-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB MEDICAL AND WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "JEAN-LUC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-393-5439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MACOMB MEDICAL AND WELLNESS C",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MACOMB MEDICAL AND WELLNESS C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Macomb Family Lab Services LLC
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• Macomb Hearing Aid Center L.L.C.
• Macomb Hematology Oncology
• Macomb Internal Med Ctr PC
• Macomb Neurology Associates PC
• Macomb Pediatric Associatea P.C
• Macomb Surgical Specialists,PLC
• Macomb-Oakland Home Care, Inc.
• Sreejesh Chiravath Madhavan

• Primary Care Clinic/Center in Warren, MI
• Providers in Warren, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.