Family Medicine Associates of Macomb PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MN079004 Issued in MI

Legal business name

FAMILY MEDICINE ASSOCIATES OF MACOMB PC

Practice address

21250 Hall Rd
Suite 200
Clinton TWP, MI 48038-7232

Phone

(586) 465-2000

Fax

(586) 465-2002

NPI assigned

Jul 9, 2010

Last updated

Jul 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manhal Naoumi, MD

Title

President

Phone

(586) 465-2000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1487966206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483111330",
            "telephone_number": "586-465-2000",
            "fax_number": "586-465-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21250 HALL RD",
            "address_2": "SUITE 200",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480387232",
            "telephone_number": "586-465-2000",
            "fax_number": "586-465-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES OF MACOMB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "NAOUMI",
        "authorized_official_first_name": "MANHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-465-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MN079004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E03109",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Mohamed Fahs
• Heather Lee Fairless, O.D.
• Ben Fajardo, M.D.
• George Ibrahim Fakhouri, DO
• Family Chiropractor P.C.
• Family Practice Physicians
• Fedor Opochinsky M.D.
• Christina M. Felcyn, MA, LPC, NCC
• Noelle Christi Fenske, M.S, P.T, C.M.P.T.
• Rachael Lyn Ferguson

• Family Medicine Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.