Obstetric & Gynecology Physicians of Flint, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OBSTETRIC & GYNECOLOGY PHYSICIANS OF FLINT, PC

Practice address

8384 Holly Rd
Suite 2
Grand Blanc, MI 48439-1976

Phone

(810) 845-9643

NPI assigned

Jul 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Edilberto Moreno, M.D.NPI 1457328510

Title

Owner

Phone

(810) 845-9643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

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

• Edilberto A Moreno, M.D.

  • Obstetrics & Gynecology Physician
  • Flint, MI
  • NPI 1457328510
  Medicare reassignment NPD Authorized official
• Lavanya A Cherukuri, M.D.

  • Obstetrics & Gynecology Physician
  • Flint, MI
  • NPI 1639147473
  Medicare reassignment NPD
• Ankur Mehta, MD

  • Ophthalmology Physician
  • Grand Blanc, MI
  • NPI 1194981985
  NPD (past)
• Caitlin Ristau, NP

  • Family Nurse Practitioner
  • Detroit, MI
  • NPI 1518323450
  NPD (past)
• Christopher Naresh Singh, MD

  • Ophthalmology Physician
  • Grand Blanc, MI
  • NPI 1083724900
  NPD (past)
• Raafay Sophie, MD

  • Ophthalmology Physician
  • Grand Blanc, MI
  • NPI 1285044107
  NPD (past)

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357948800000",
    "number": "1659627339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8384 HOLLY RD",
            "address_2": "SUITE 2",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391976",
            "telephone_number": "810-845-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8384 HOLLY RD",
            "address_2": "SUITE 2",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391976",
            "telephone_number": "810-845-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRIC & GYNECOLOGY PHYSICIANS OF FLINT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2013-01-12",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "EDILBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-845-9643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; 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.