Lifemd Midwest Patient Medical Care PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIFEMD MIDWEST PATIENT MEDICAL CARE PC

Practice address

100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283

Phone

(800) 735-2176

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Eric Yecies

Title

Cco

Phone

(800) 852-5175

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN, OH, NE, NJ, OK, TN, CA, MS, GA, FL, LA, MO, NY, NC15 enrollments

Enrollment records 15

Locations

Practitioners 28

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

• Mary Suzanne Ryan Biggs, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1508913237

  TN

  Medicare reassignment NPD
• Janice Beverly T. Cahambing, ANP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pleasanton, CA
  • NPI 1356699912

  CA, OH

  Medicare reassignment NPD
• Kimberly Dawn Calloway, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Lexington, IN
  • NPI 1023616125

  IN

  Medicare reassignment NPD
• Lauren Ashley Cramer, PA-C

  • Medical Physician Assistant
  • Rochester, NY
  • NPI 1023492998

  NY

  Medicare reassignment NPD
• Ashton Barnett Curry, APRN-C

  • Family Nurse Practitioner
  • Seminole, FL
  • NPI 1912764101

  FL

  Medicare reassignment NPD
• Taryn Leigh Facella-Scheuer, APN

  • Family Nurse Practitioner
  • Eagan, MN
  • NPI 1407296403

  NJ

  Medicare reassignment NPD
• Mindy M. Gray, MS, RDN

  • Registered Dietitian
  • Grain Valley, MO
  • NPI 1669968236

  MO, Single Specialty

  Medicare reassignment NPD
• Jonathan S. Guirguis, D.O.

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1861767113

  IL, Internal Medicine

  Medicare reassignment NPD
• Heather Hanono, FNP-BC

  • Family Nurse Practitioner
  • Boca Raton, FL
  • NPI 1235892050

  FL, Nurse Practitioner

  Medicare reassignment NPD
• Qumara Hill-Smith

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1871906024

  GA

  Medicare reassignment NPD
• Holly Cresswell Lunsford, FNP-C

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1891043105

  MS, Nurse Practitioner

  Medicare reassignment NPD
• Kyle R. Maiorana, RDN, LDN

  • Registered Dietitian
  • Asheville, NC
  • NPI 1861756264

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1497433734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 5TH AVE STE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017606",
            "telephone_number": "800-852-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W BIG BEAVER RD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845283",
            "telephone_number": "800-735-2176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 N Michigan Ave Fl 31",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606111962",
            "country_code": "US",
            "telephone_number": "646-263-3680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9465 Counselors Row Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462403817",
            "country_code": "US",
            "telephone_number": "800-735-2176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFEMD MIDWEST PATIENT MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "YECIES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "800-852-5175"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrence Hwakai Liang, D.O.
• Yan Liang
• Doru Lica, PA
• Life Restoration Counseling & Psychological Services
• Lifecare & Recovery
• Erik John Ligas, DDS
• Light Rehab Services Inc.
• Kristen M Light, DNP, RN, AGPCNP-BC
• Lightheart LLC
• Joseph Allen Lilly, LMSW

• All providers in Troy, MI
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.

Verify at the official NPI Registry.