Active NPI
Southeast Michigan Rehab & Pain PLLC
- Physical Medicine & Rehabilitation Physician
- Ann Arbor, MI
National Provider Identifier
1417420886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- SOUTHEAST MICHIGAN REHAB & PAIN PLLC
- Practice address
- 1070 Rosewood St
Ann Arbor, MI 48104-6250 - Phone
- (734) 462-0340
- NPI assigned
- Jan 8, 2019
- Last updated
- Sep 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anothony Meram, DO
- Title
- President
- Phone
- (248) 722-0108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1070 Rosewood St
Ann Arbor, MI 48104-6250
Mailing address
890 Wolverine Dr
Wolverine Lake, MI 48390-2377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1070 Rosewood St
Ann Arbor, MI 48104
Phone (248) 722-0108
39595 W 10 Mile Rd
Ste 103
Novi, MI 48375
Phone (248) 722-0108
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Novi, MI
- NPI 1154548600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568246400000",
"number": "1417420886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 WOLVERINE DR",
"city": "WOLVERINE LAKE",
"state": "MI",
"postal_code": "483902377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 ROSEWOOD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481046250",
"telephone_number": "734-462-0340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST MICHIGAN REHAB & PAIN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-08",
"last_updated": "2019-09-12",
"status": "A",
"authorized_official_last_name": "MERAM",
"authorized_official_first_name": "ANOTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-722-0108",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.