Metro Medical of Dearborn PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

5101005442 Issued in MI

Legal business name

METRO MEDICAL OF DEARBORN PC

Practice address

2220 N Telegraph Rd
Dearborn, MI 48128-2213

Phone

(313) 563-7878

Fax

(313) 563-8443

NPI assigned

Mar 27, 2014

Organization subpart

No

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

Authorized official

Name

Chris Stanley

Title

Manager

Phone

(313) 563-7878

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1477970457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 N TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481282213",
            "telephone_number": "313-563-7878",
            "fax_number": "313-563-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 N TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481282213",
            "telephone_number": "313-563-7878",
            "fax_number": "313-563-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MEDICAL OF DEARBORN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-563-7878"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MI",
            "license": "5101005442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1386970838",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metro Home Health Care Plans, Inc.
• Metro Hospitalist Group PLLC
• Metro Language Services LLC
• Metro Med Pain Management & Rehab PLC
• Metro Medical Equipment & Supplies, Inc.
• Metro Ride Transportation LLC
• Metropolitan Anesthesia, P.C.
• Metropolitan Pain Management, PC
• Jacqueline Susan Metz, D.O
• Alexandra Renee Meux

• Adult Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Adult Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.