Salem Medical Services PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SALEM MEDICAL SERVICES PLLC

Practice address

2291 Lake Ridge Dr
Grand Blanc, MI 48439-7365

Phone

(734) 239-5830

NPI assigned

Dec 20, 2022

Organization subpart

No

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

Authorized official

Name

Lisa A Mudge

Title

Manager

Phone

(810) 407-3182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1619689718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 LAKE RIDGE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397365",
            "telephone_number": "734-239-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 LAKE RIDGE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397365",
            "telephone_number": "734-239-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "MUDGE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "810-407-3182"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth William Rynearson, D.C,
• Nicholas John Saad, PHARMD, RPH
• Malak Saffar, MD
• Arun Sakithu, MD
• Ali Salamey
• Serena Salinger-Kraft
• Sam'S Club Optical
• Taylor Sammis
• Sams East Inc
• Barbara Helene Samson, OTR/L, MBA, CWS

• Internal Medicine Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.