Active NPI
Complex Care MD PC
- Internal Medicine Physician
- Flushing, MI
National Provider Identifier
1568028801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- COMPLEX CARE MD PC
- Practice address
- 6045 W Pierson Rd
Flushing, MI 48433-2389 - Phone
- (810) 235-1331
- NPI assigned
- May 13, 2019
- 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
- Diana El Masri
- Title
- Billing Manager
- Phone
- (248) 215-0048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6045 W Pierson Rd
Flushing, MI 48433-2389
Mailing address
30700 Telegraph Rd
Bingham Farms, MI 48025-4524
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | diana@embpm.com | Direct |
National Provider Directory
National Provider DirectoryLocations
30700 Telegraph Rd
Bingham Farms, MI 48025
Phone (248) 480-4440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557705600000",
"number": "1568028801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30700 TELEGRAPH RD",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6045 W PIERSON RD",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484332389",
"telephone_number": "810-235-1331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLEX CARE MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-13",
"last_updated": "2019-05-13",
"status": "A",
"authorized_official_last_name": "EL MASRI",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "248-215-0048"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "diana@embpm.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6045 W Pierson Rd",
"city": "Flushing",
"state": "MI",
"country_code": "US",
"postal_code": "484332389",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flushing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.