Ronald Main, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704310170 Issued in MI

Practice address

22500 Metro Pkwy Ste 403
Clinton TWP, MI 48035-1943

Phone

(586) 741-4142

NPI assigned

Sep 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1508415308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22500 METRO PKWY STE 403",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480351943",
            "telephone_number": "586-741-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22500 METRO PKWY STE 403",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480351943",
            "telephone_number": "586-741-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIN",
        "first_name": "RONALD",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704310170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macomb Family Care PC
• Macomb Internal Medicine PC
• Macomb Nephrology Associates P.L.C.
• Macomb Surgical Associates,P.C.
• Suzanne Marie Mahoney, NP
• Malati a Patel
• Bhakti Malavia, DDS
• Justina Malbouef, LBSW
• Malki'S Care
• Rachel Faye Malo

• Registered Nurse in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.