NPIMap

Organization Active NPI

Macomb Oakland Adult Medicine PC

  • Internal Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1669576120
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RL063320 Issued in MI
Legal business name
MACOMB OAKLAND ADULT MEDICINE PC
Practice address
1701 South Blvd E
Suite 290
Rochester Hills, MI 48307-6122
Phone
(248) 997-7900
NPI assigned
Sep 12, 2006
Last updated
Oct 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
R Scott Lazzara, MD
Title
President
Phone
(248) 997-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RL063320 MI Primary

Addresses

Primary practice location

1701 South Blvd E
Suite 290
Rochester Hills, MI 48307-6122

Mailing address

1701 South Blvd E
Suite 290
Rochester Hills, MI 48307-6122
Phone (248) 997-7900

Other identifiers 1

IdentifierTypeStateIssuer
C6123OtherMIMCARE

National Provider Directory

National Provider Directory

Locations

42121 Mound Rd
Ste A
Sterling Heights, MI 48314
Phone (586) 726-2791

Practitioners & affiliated clinicians

Practitioners 80

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.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1669576120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "address_2": "SUITE 290",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-997-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "address_2": "SUITE 290",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-997-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB OAKLAND ADULT MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "LAZZARA",
        "authorized_official_first_name": "R SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-997-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "RL063320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C6123",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.