Organization Active NPI

Michigan Post-Acute Medical Services 1 PC

  • Hospitalist Physician
  • Brighton, MI
National Provider Identifier
1669901567
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
MICHIGAN POST-ACUTE MEDICAL SERVICES 1 PC
Practice address
1014 E Grand River Ave
Brighton, MI 48116-1804
Phone
(865) 693-1000
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Dr. Jeffrey Weiss, DONPI 1346221942
Title
President
Phone
(865) 693-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

1014 E Grand River Ave
Brighton, MI 48116-1804

Mailing address

265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052
Phone (865) 693-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171025001292 MI Part B Supplier - Clinic/Group Practice 2163798877 Receives reassigned benefits from 97 practitioners

National Provider Directory

National Provider Directory

Locations

8511 Fallbrook Ave
West Hills, CA 91304

130 Sand Creek Hwy
Adrian, MI 49221
Phone (517) 263-0657

45900 Geddes Rd
Canton, MI 48188
Phone (734) 879-4100

23621 15 Mile Rd
Ste 100
Clinton Township, MI 48035
Phone (586) 791-2470

7733 E Jefferson Ave
Ste 100
Detroit, MI 48214
Phone (313) 432-1200

2499 Forest Hill Ave SE
Grand Rapids, MI 49546
Phone (616) 278-6520

141 Port Sheldon St
Ste 151
Grandville, MI 49418
Phone (616) 457-6010

9400 Conant St
#A
Hamtramck, MI 48212
Phone (313) 874-4500

701 E Main St
Hart, MI 49420
Phone (231) 873-2148

1714 W 32nd St
Holland, MI 49423
Phone (616) 298-7698

1725 Port Sheldon St
Jenison, MI 49428
Phone (616) 667-1725

202 S Bridge St
Linden, MI 48451
Phone (810) 735-9400

11537 Fulton St E
Lowell, MI 49331
Phone (616) 897-8413

9100 Buchanan Rd
Mecosta, MI 49332
Phone (231) 972-6600

9480 E M 21
Ste 200
Ovid, MI 48866
Phone (989) 834-2228

50 N Perry St
Fl 1E
Pontiac, MI 48342
Phone (248) 221-5300

26101 Jefferson Ave
Ste 1000
Saint Clair Shores, MI 48081
Phone (248) 220-5564

5601 Hatchery Rd
Ofc
Waterford, MI 48329
Phone (877) 284-4698

5281 Wilson Ave SW
Wyoming, MI 49418
Phone (616) 805-5305

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maner Costerisan PCAdrian, MI, CCN 235224 Skilled nursing facility Adp of the SNF Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 102

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

View all 102

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1669901567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "865-693-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 E GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161804",
            "telephone_number": "865-693-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN POST-ACUTE MEDICAL SERVICES 1 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-693-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.