NPIMap

Organization Active NPI

Associated Retinal Consultants, PC

  • Ophthalmology Physician
  • Gaylord, MI
National Provider Identifier
1396792206
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ASSOCIATED RETINAL CONSULTANTS, PC
Practice address
952 N Center Ave
Gaylord, MI 49735-9318
Phone
(989) 448-0937
Fax
(989) 448-0941
NPI assigned
May 27, 2006
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Alan Joel Ruby
Title
Owner
Phone
(248) 319-0161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

952 N Center Ave
Gaylord, MI 49735-9318

Mailing address

2000 N Huron River Dr Ste 100
Ypsilanti, MI 48197-1600
Phone (248) 319-0161

Other identifiers 4

IdentifierTypeStateIssuer
38-146761OtherGRP TAX ID #
791183369OtherMEDICARE RAILROAD GRP #
180Q26082OtherBCBS GRP #
G00698OtherBCN GRP #

National Provider Directory

National Provider Directory
Tax ID family
Associated Retinal Consultants PC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1396792206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N HURON RIVER DR STE 100",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971600",
            "telephone_number": "248-319-0161",
            "fax_number": "248-319-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359318",
            "telephone_number": "989-448-0937",
            "fax_number": "989-448-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED RETINAL CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "RUBY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-319-0161"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP TAX ID #",
            "identifier": "38-146761",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GRP #",
            "identifier": "791183369",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP #",
            "identifier": "180Q26082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GRP #",
            "identifier": "G00698",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.