Active NPI
Accompany Medical Group of Michigan, P.C.
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1619673886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ACCOMPANY MEDICAL GROUP OF MICHIGAN, P.C.
- Practice address
- 2111 Woodward Ave Ste 1200
Detroit, MI 48201-3415 - Phone
- (313) 488-4332
- Fax
- (313) 488-4332
- NPI assigned
- Jan 31, 2023
- Last updated
- Oct 31, 2024
- 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
- Ellen Weinstein
- Title
- General Counsel
- Phone
- (301) 375-0166
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | ||
| Primary Care Nurse Practitioner | 363LP2300X | NU | ||
| Psychologist | 103T00000X | NU | ||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | ||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | NU | ||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | NU | ||
| Psychiatry Physician | 2084P0800X | NU |
Addresses
Primary practice location
2111 Woodward Ave Ste 1200
Detroit, MI 48201-3415
Mailing address
4550 Montgomery Ave # 3
Bethesda, MD 20814-3304
Phone (301) 375-0166
National Provider Directory
National Provider DirectoryLocations
4550 Montgomery Ave
Ste 3
Bethesda, MD 20814
Phone (301) 375-0166
2111 Woodward Ave
Ste 1200
Detroit, MI 48201
Phone (313) 488-4332
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Detroit, MI
- NPI 1962914366
-
- Medical Physician Assistant
- Detroit, MI
- NPI 1023770740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730332800000",
"number": "1619673886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 MONTGOMERY AVE # 3",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143304",
"telephone_number": "301-375-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 WOODWARD AVE STE 1200",
"city": "DETROIT",
"state": "MI",
"postal_code": "482013415",
"telephone_number": "313-488-4332",
"fax_number": "313-488-4332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCOMPANY MEDICAL GROUP OF MICHIGAN, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-31",
"last_updated": "2024-10-31",
"certification_date": "2024-10-28",
"status": "A",
"authorized_official_last_name": "WEINSTEIN",
"authorized_official_first_name": "ELLEN",
"authorized_official_title_or_position": "GENERAL COUNSEL",
"authorized_official_telephone_number": "301-375-0166"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.