South Macomb Internists, P.C.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SOUTH MACOMB INTERNISTS, P.C.

Practice address

11900 E 12 Mile Rd
Suite 300
Warren, MI 48093-3400

Phone

(586) 761-2072

Fax

(586) 751-1302

NPI assigned

Sep 2, 2005

Organization subpart

No

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

Authorized official

Name

Anthony Baron, MDNPI 1184621336

Title

Officer

Phone

(586) 751-2072

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Anthony P. Baron, MD

  • Rheumatology Physician
  • Warren, MI
  • NPI 1184621336
  NPD (past) Authorized official

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184371200000",
    "number": "1366436511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD",
            "address_2": "SUITE 300",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933400",
            "telephone_number": "586-761-2072",
            "fax_number": "586-751-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD",
            "address_2": "SUITE 300",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933400",
            "telephone_number": "586-761-2072",
            "fax_number": "586-751-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MACOMB INTERNISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2007-07-14",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "586-751-2072",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700E06357",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sos Home Care LLC
• Sonia Kassandra Soto, APRN, FNP-BC
• Stephanie Lily Soukar, MD
• Soulshine Home Care LLC
• South East Home Care LLC
• Southeast Hospitalists
• Southeast Michigan Surgical Hospital LCC
• Southeast Michigan Surgical Hospital, LLC
• Southeast Michigan Surgical Hospital, LLC
• Southeast Michigan Surgical Hospital, LLC

• Multi-Specialty Clinic/Center in Warren, MI
• Providers in Warren, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; 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.