Advanced Care Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVANCED CARE MEDICAL CENTER INC

Practice address

27780 Novi Raod
Suite 104
Novi, MI 48377

Phone

(248) 348-9900

Fax

(248) 347-3003

NPI assigned

Jul 16, 2006

Last updated

May 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dominique Buck

Title

Owner

Phone

(248) 348-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 6

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.

• Herbert Isaac II, MD

  • Family Medicine Physician
  • Pontiac, MI
  • NPI 1841231941
  NPD (past)
• Nidal J. Jboor, M.D.

  • Internal Medicine Physician
  • Dearborn Heights, MI
  • NPI 1679543425
  NPD (past)
• Bina B Shaw, MD

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1861401812
  NPD (past)
• Raafat Boles Mahrous Shehata, M.D.

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1891078846
  NPD (past)
• Shi-Yu Tan, MD

  • General Practice Physician
  • Ypsilanti, MI
  • NPI 1205098654
  NPD (past)
• Shmaila Ishaq, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Lauderdale, FL
  • NPI 1851375067
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1619994688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20524 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283243",
            "telephone_number": "248-348-9900",
            "fax_number": "248-347-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27780 NOVI RAOD",
            "address_2": "SUITE 104",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-348-9900",
            "fax_number": "248-347-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-348-9900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "080H218220",
            "identifier": "BCBSM",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Adkins
• Ricki Adkins
• Karen Adragna
• Sylvia M Adsit
• Debra Adsmond
• Advanced Dental Concepts P.C. (Advanced Dental)
• Advanced Endodontics PC
• Advanced Foot & Ankle Care Center PLLC
• Advanced Medical Haggerty Partners PA
• Advanced Pain Management Specialists, LLC (Clearway Pain Solutions)

• Family Medicine Physician in Novi, MI
• Providers in Novi, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.