Mary Ellen Puls, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101008465 Issued in MI

Practice address

36333 Harper Ave
Clinton TWP, MI 48035-2958

Phone

(586) 792-8877

Fax

(586) 792-8876

NPI assigned

May 15, 2006

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 Osteopathy

State licenses

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.

• Me2 Internal Medicine P C

  • Internal Medicine Physician
  • Clinton TWP, MI
  • NPI 1720283922
  NPD (past) Authorized official

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1427009166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36539 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352012",
            "telephone_number": "586-792-8877",
            "fax_number": "586-792-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36333 HARPER AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352958",
            "telephone_number": "586-792-8877",
            "fax_number": "586-792-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULS",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "MP008465",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101008465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3156767",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Shawn Pretzer, M.A. .L.P.C.
• Birgit U Pridoehl, LMSW
• Professional Pharmacy Services-II Inc.
• Mary M Pruneau, PHD
• Albert Anthony Przybylski, D.O.
• Purecare Michigan LLC
• Quality Care Rehabilitation Professionals
• Quality Private Care LLC
• Quality Rehabilitation Services, LLC
• Quality Rehabilitation Services, LLC

• Internal Medicine Physician in Clinton TWP, MI
• Providers in Clinton TWP, 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 May 14, 2021; 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.