Organization Active NPI

Norman G Macdermid DO PLLC

  • Family Medicine Physician
  • Belleville, MI
National Provider Identifier
1619270410
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101010861 Issued in MI
Legal business name
NORMAN G MACDERMID DO PLLC
Practice address
142 South St
Belleville, MI 48111-2939
Phone
(734) 699-3477
NPI assigned
Dec 16, 2010
Last updated
Dec 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Dr. Norman Gilbert Macdermid, D.O.NPI 1861578866
Title
Owner
Phone
(734) 699-3477

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
Family Medicine Physician 207Q00000X 5101010861 MI Primary

Addresses

Primary practice location

142 South St
Belleville, MI 48111-2939

Mailing address

142 South St
Belleville, MI 48111-2939
Phone (734) 699-3477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110502000436 MI Part B Supplier - Clinic/Group Practice 4385832500 Receives reassigned benefits from 1 practitioner
Practice locations: Belleville, MI

National Provider Directory

National Provider Directory

Locations

142 South St
Belleville, MI 48111
Phone (734) 634-8093

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1619270410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SOUTH ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112939",
            "telephone_number": "734-699-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SOUTH ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112939",
            "telephone_number": "734-699-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN G MACDERMID DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "MACDERMID",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-699-3477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.