Active NPI
Lifemd Midwest Patient Medical Care PC
- Clinic/Center
- Troy, MI
National Provider Identifier
1497433734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
- Last updated
- May 28, 2024
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283
Mailing address
236 5TH Ave Ste 400
New York, NY 10001-7606
Phone (800) 852-5175
Other practice location 1
875 N Michigan Ave Fl 31
Chicago, IL 60611-1962
Phone (646) 263-3680
Other practice location 2
9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817
Phone (800) 735-2176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN, OH, NE, NJ, OK, TN, CA, MS, GA, FL, LA, MO, NY, NC
Enrollment records 15
National Provider Directory
National Provider DirectoryLocations
7777 Bonhomme Ave
Ste 1800
Saint Louis, MO 63105
Phone (314) 209-2800
Practitioners & affiliated clinicians
Practitioners 28
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1508913237
-
- Psychiatric/Mental Health Nurse Practitioner
- Pleasanton, CA
- NPI 1356699912
OH
-
- Family Nurse Practitioner
- Lexington, IN
- NPI 1023616125
-
- Medical Physician Assistant
- Rochester, NY
- NPI 1023492998
-
- Family Nurse Practitioner
- Seminole, FL
- NPI 1912764101
-
- Family Nurse Practitioner
- Boca Raton, FL
- NPI 1235892050
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1871906024
-
- Registered Dietitian
- Asheville, NC
- NPI 1861756264
NPI Registry JSON
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": "",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_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": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- 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.