Organization Active NPI

American Access Care of Detroit LLC

  • Vascular & Interventional Radiology Physician
  • Sterling Heights, MI
National Provider Identifier
1508128190
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
AMERICAN ACCESS CARE OF DETROIT LLC
Practice address
33464 Schoenherr Rd
Sterling Heights, MI 48312-6314
Phone
(586) 978-4580
Fax
(586) 978-4589
NPI assigned
Jun 11, 2012
Last updated
May 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Ronald H. Rodgers Jr.
Title
Credentialing Specialist
Phone
(717) 759-6739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

33464 Schoenherr Rd
Sterling Heights, MI 48312-6314

Mailing address

182 Industrial Rd
Glen Rock, PA 17327-8626
Phone (717) 759-6739

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

33464 Schoenherr Rd
Ste 110
Sterling Hts, MI 48312
Phone (586) 978-4580

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1508128190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 INDUSTRIAL RD",
            "city": "GLEN ROCK",
            "state": "PA",
            "postal_code": "173278626",
            "telephone_number": "717-759-6739",
            "fax_number": "717-235-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33464 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126314",
            "telephone_number": "586-978-4580",
            "fax_number": "586-978-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ACCESS CARE OF DETROIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "717-759-6739",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.