Annie Mar, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301097750 Issued in MI

Practice address

43555 Dalcoma Dr
Suite #4
Clinton Township, MI 48038-6310

Phone

(586) 228-2882

Fax

(586) 463-7152

NPI assigned

Jul 9, 2008

Last updated

Feb 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Health Macomb Hospital

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1366605362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43555 DALCOMA DR",
            "address_2": "SUITE #4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386310",
            "telephone_number": "586-228-2882",
            "fax_number": "586-463-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43555 DALCOMA DR",
            "address_2": "SUITE #4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386310",
            "telephone_number": "586-228-2882",
            "fax_number": "586-463-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAR",
        "first_name": "ANNIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "254547",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301097750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03154432",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephaine Mann, CNA
• Bianca Marie Mannariat, MBBS
• Julia Rose Manni
• Michelle Mannina, MA LPC
• Drue A Manning, DO
• Staniya Marangattil, PA-C
• Kristine Marcath, RN
• Andrew Marcell, OD
• Larry March, RPH
• Lauren Marchetti, MSW

• Physical Medicine & Rehabilitation Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.