Organization Active NPI

C & M Visiting Physicians PLC

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1487723771
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
C & M VISITING PHYSICIANS PLC
Practice address
2990 W Grand Blvd
Suite 408
Detroit, MI 48202-3041
Phone
(313) 874-4436
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Charles McRae
Title
Administrator
Phone
(313) 874-4436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2990 W Grand Blvd
Suite 408
Detroit, MI 48202-3041

Mailing address

2990 W Grand Blvd
Suite 408
Detroit, MI 48202-3041
Phone (313) 874-4436

Other identifiers 3

IdentifierTypeStateIssuer
1144240458OtherMIJOHN MCCOLLOUGH MD
1770553521OtherMIALPHONSO BERRY MD
110H211060OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • homecare doctors llc Doing business as

National Provider Directory

National Provider Directory

Locations

2990 W Grand Blvd
Ste 231
Detroit, MI 48202
Phone (313) 874-4436

2990 W Grand Blvd
Ste 408
Detroit, MI 48202
Phone (313) 874-4436

17950 Woodward Ave
#200
Detroit, MI 48203
Phone (313) 850-6942

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1487723771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 W GRAND BLVD",
            "address_2": "SUITE 408",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023041",
            "telephone_number": "313-874-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 W GRAND BLVD",
            "address_2": "SUITE 408",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023041",
            "telephone_number": "313-874-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & M VISITING PHYSICIANS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-874-4436"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN MCCOLLOUGH MD",
            "identifier": "1144240458",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALPHONSO BERRY MD",
            "identifier": "1770553521",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110H211060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "homecare doctors llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.