Organization Active NPI

Maple Healthcare Medical Center P.C.

  • Medical Specialty Clinic/Center
  • Flint, MI
National Provider Identifier
1538569439
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4301044385 Issued in MI
Legal business name
MAPLE HEALTHCARE MEDICAL CENTER P.C.
Practice address
2442 E Maple Ave Ste 400
Flint, MI 48507-4462
Phone
(734) 686-4440
Fax
(810) 222-8934
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Dr. Robert L Alexander, M.D.
Title
Physician
Phone
(734) 686-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 4301044385 MI Primary

Addresses

Primary practice location

2442 E Maple Ave Ste 400
Flint, MI 48507-4462

Mailing address

2442 E Maple Ave Ste 400
Flint, MI 48507-4462
Phone (734) 686-4440

Other identifiers 1

IdentifierTypeStateIssuer
OP31110MedicaidMI

National Provider Directory

National Provider Directory

Locations

2442 E Maple Ave
Ste 400
Grand Blanc, MI 48507
Phone (734) 686-4440

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1538569439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 E MAPLE AVE STE 400",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074462",
            "telephone_number": "734-686-4440",
            "fax_number": "810-222-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 E MAPLE AVE STE 400",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074462",
            "telephone_number": "734-686-4440",
            "fax_number": "810-222-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE HEALTHCARE MEDICAL CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "734-686-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301044385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP31110",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.