NPIMap

Organization Active NPI

Bi County Medical Practices

Doing business as Henry Ford Macomb Hospital Warren

  • Pediatrics Physician
  • Warren, MI
National Provider Identifier
1659695336
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BI COUNTY MEDICAL PRACTICES
Doing business as
Henry Ford Macomb Hospital Warren
Practice address
13355 E 10 Mile Rd
Suite 229
Warren, MI 48089-2048
Phone
(586) 759-7510
Fax
(586) 759-7791
NPI assigned
Mar 24, 2010
Last updated
Jun 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Terry Goodbalian
Title
Cfo
Phone
(586) 263-2705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MI Primary

Addresses

Primary practice location

13355 E 10 Mile Rd
Suite 229
Warren, MI 48089-2048

Mailing address

PO Box 673195
Detroit, MI 48267-3195
Phone (810) 720-5715

Other identifiers 1

IdentifierTypeStateIssuer
700E000820OtherMIBCBSM/BCN

Other names 1

  • Henry Ford Macomb Hospital Warren Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1659695336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673195",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482673195",
            "telephone_number": "810-720-5715",
            "fax_number": "810-732-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13355 E 10 MILE RD",
            "address_2": "SUITE 229",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892048",
            "telephone_number": "586-759-7510",
            "fax_number": "586-759-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BI COUNTY MEDICAL PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "GOODBALIAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "586-263-2705"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM/BCN",
            "identifier": "700E000820",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Macomb Hospital Warren",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.