Macomb Primary Care, P.C

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MACOMB PRIMARY CARE, P.C

Practice address

851 South Main Street
Suite #3
Plymouth, MI 48170

Phone

(734) 354-0020

Fax

(586) 323-0341

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Chadi H Mansour, M.D.

Title

Owner/President

Phone

(586) 323-0301

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad H Mansour, MD

  • Internal Medicine Physician
  • Midland, MI
  • NPI 1730186594
  NPD

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1639689854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11051 HALL ROAD",
            "address_2": "SUTIE 120",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "48317",
            "telephone_number": "586-323-0301",
            "fax_number": "286-323-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 SOUTH MAIN STREET",
            "address_2": "SUITE #3",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48170",
            "telephone_number": "734-354-0020",
            "fax_number": "586-323-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB PRIMARY CARE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "CHADI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "586-323-0301",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee Macinnis, LLPC, MS
• Kandice Mack
• Keri Marie Mack, BCBA
• Casey Maclean
• Malcolm Craig Macmartin, DDS
• Nicole Macon-McKendree, LMSW
• Joshua Madding, M.A., CCC-SLP
• Martha Madlambayan
• Danielle Renae Madrigal
• Lauren Maguire, MA, SCL, LLPC

• Durable Medical Equipment & Medical Supplies in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.