NPIMap

Organization Active NPI

Dr Ruthie McCrary MD PC

  • Plastic Surgery Physician
  • Birmingham, MI
National Provider Identifier
1669704490
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301077899 Issued in MI
Legal business name
DR RUTHIE MCCRARY MD PC
Practice address
390 Park St
Suite 201
Birmingham, MI 48009-3400
Phone
(248) 258-5100
NPI assigned
Feb 4, 2010
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Dr. Ruthie McCrary, M.D.NPI 1720228349
Title
President
Phone
(313) 530-2566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 4301077899 MI Primary

Addresses

Primary practice location

390 Park St
Suite 201
Birmingham, MI 48009-3400

Mailing address

390 Park St
Suite 201
Birmingham, MI 48009-3400
Phone (248) 258-5100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1669704490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 PARK ST",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093400",
            "telephone_number": "248-258-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PARK ST",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093400",
            "telephone_number": "248-258-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RUTHIE MCCRARY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "MCCRARY",
        "authorized_official_first_name": "RUTHIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-530-2566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301077899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.