Individual provider Active NPI

Linetta Lovey Marouf, PA-C

  • Medical Physician Assistant
  • Rochester Hills, MI
National Provider Identifier
1619046513
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601004761 Issued in MI
Practice address
1555 South Blvd E Ste 320
Rochester Hills, MI 48307-5663
Phone
(248) 651-0800
Fax
(248) 651-7341
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601004761 MI Primary

Addresses

Primary practice location

1555 South Blvd E Ste 320
Rochester Hills, MI 48307-5663

Mailing address

PO Box 1187
Troy, MI 48099-1187
Phone (248) 651-0800

Other names 1

  • Linetta Lovey Allus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302001747 MI Order and Referring Only - Physician Assistant 4880696335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601004761MIMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1619046513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1187",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991187",
            "telephone_number": "248-651-0800",
            "fax_number": "248-651-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E STE 320",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075663",
            "telephone_number": "248-651-0800",
            "fax_number": "248-651-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROUF",
        "first_name": "LINETTA",
        "middle_name": "LOVEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINETTA",
            "last_name": "ALLUS",
            "middle_name": "LOVEY",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.