NPIMap

Organization Active NPI

Arbor Internal Medicine, PLLC

  • Internal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1366517708
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
JS040970 Issued in MI
Legal business name
ARBOR INTERNAL MEDICINE, PLLC
Practice address
1950 Manchester Rd
Ann Arbor, MI 48104-4993
Phone
(734) 973-4800
Fax
(734) 973-4810
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Dr. Jean Scholl, M.D.NPI 1992768006
Title
Provider
Phone
(734) 973-4800

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X JS040970 MI Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X CF046469 MI
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X PS065397 MI

Addresses

Primary practice location

1950 Manchester Rd
Ann Arbor, MI 48104-4993

Mailing address

1950 Manchester Rd
Ann Arbor, MI 48104-4993
Phone (734) 973-4800

Other identifiers 5

IdentifierTypeStateIssuer
4552862MedicaidMI
4543460MedicaidMI
0N70350OtherMIMEDICARE GRP PIN
110H11004OtherMIBCBS MI GRP PIN
4543451MedicaidMI

National Provider Directory

National Provider Directory

Locations

1950 Manchester Rd
Ann Arbor, MI 48104
Phone (313) 973-1034

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1366517708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 MANCHESTER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044993",
            "telephone_number": "734-973-4800",
            "fax_number": "734-973-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MANCHESTER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044993",
            "telephone_number": "734-973-4800",
            "fax_number": "734-973-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "SCHOLL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "734-973-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "JS040970",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "CF046469",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "PS065397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4552862",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4543460",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP PIN",
            "identifier": "0N70350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI GRP PIN",
            "identifier": "110H11004",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4543451",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

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