Michigan Radiation Medicine PLLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

4301067042 Issued in MI

Legal business name

MICHIGAN RADIATION MEDICINE PLLC

Practice address

315 E Warwick Dr
Ste C
Alma, MI 48801-1083

Phone

(989) 463-9300

Fax

(989) 463-9305

NPI assigned

May 15, 2014

Organization subpart

No

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

Authorized official

Name

Mark Fireman, MD

Title

Owner

Phone

(989) 463-9300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1679984322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 GLADDING CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403320",
            "telephone_number": "989-486-3522",
            "fax_number": "989-463-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E WARWICK DR",
            "address_2": "STE C",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011083",
            "telephone_number": "989-463-9300",
            "fax_number": "989-463-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN RADIATION MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "FIREMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-463-9300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301067042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1376517987",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Masonic Home (Masonic Pathways)
• Michigan Masonic Home (Masonic Pathways)
• Michigan Masonic Home (Warwick Living Center)
• Michigan Masonic Home (Masonic Pathways)
• Michigan Masonic Home (Masonic Pathways)
• Pamela S Micko
• Mid Michigan Ketamine Clinic PLLC
• Mid-Michigan Health Care Associates,LTD (Warwick Living Center)
• Mid-Michigan Radiology Associates, PC
• Midmichigan Home Health Services (Gratiot Home Medical)

• Radiation Oncology Physician in Alma, MI
• Providers in Alma, MI by specialty
• Radiation Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.