Organization Active NPI

Henein Arthritis and Osteoporsis Center PC

  • Rheumatology Physician
  • Clinton Township, MI
National Provider Identifier
1588672018
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
4301075343 Issued in MI
Legal business name
HENEIN ARTHRITIS AND OSTEOPORSIS CENTER PC
Practice address
39621 Garfield
Clinton Township, MI 48038
Phone
(586) 226-5555
Fax
(586) 226-4441
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Violette Fawzy Henein, M.D.NPI 1912914227
Title
Owner
Phone
(586) 226-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 4301075343 MI Primary

Addresses

Primary practice location

39621 Garfield
Clinton Township, MI 48038

Mailing address

39621 Garfield
Clinton Township, MI 48038
Phone (586) 226-5555

Other identifiers 1

IdentifierTypeStateIssuer
1105016401OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050711000646 MI Part B Supplier - Clinic/Group Practice 6709812829 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton Township, MI

National Provider Directory

National Provider Directory

Locations

39621 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 226-5555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGGBA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588672018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39621 GARFIELD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-226-5555",
            "fax_number": "586-226-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39621 GARFIELD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-226-5555",
            "fax_number": "586-226-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENEIN ARTHRITIS AND OSTEOPORSIS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENEIN",
        "authorized_official_first_name": "VIOLETTE",
        "authorized_official_middle_name": "FAWZY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-226-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301075343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1105016401",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.