Maya Ashkenazi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301070722 Issued in MI

Practice address

23003 Greater Mack Ave
Saint Clair Shores, MI 48080-1965

Phone

(586) 779-6830

Fax

(586) 771-1603

NPI assigned

Jan 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Metro Health Care Center P.C.

  • Family Medicine Physician
  • St. Clair Shores, MI
  • NPI 1780656074
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376523233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23003 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801965",
            "telephone_number": "586-779-6830",
            "fax_number": "586-771-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23003 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801965",
            "telephone_number": "586-779-6830",
            "fax_number": "586-771-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHKENAZI",
        "first_name": "MAYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301070722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4248970",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Arnold
• Tameka Kenyetta Arnold, LMSW
• Mary Arnone, L.M.T
• Arthur J Post DDS PC
• Ray Anthony Najarro Ascano, DDS
• Tahsin Asjad
• Aspa OB/GYN, PLLC
• Associated Eye Specialists of Troy, PC
• Associated Orthopedist of Detroit
• Associated Orthopedists of Detroit PC

• Internal Medicine Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.