Michigan Rheumatology Group PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

MICHIGAN RHEUMATOLOGY GROUP PC

Practice address

8200 S Saginaw St Ste 500
Grand Blanc, MI 48439-2451

Phone

(810) 953-8700

Fax

(810) 953-8704

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Barbara A McIntosh Moore, MD PCNPI 1982652103

Title

MD

Phone

(810) 953-8700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Michigan Rheumatology Group PC

  • Rheumatology Physician
  • Lapeer, MI
  • NPI 1801968144

  O20040501000237

  Same enrollment

Locations

Practitioners 5

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

• Barbara A McIntosh-Moore, MD

  • Rheumatology Physician
  • Grand Blanc, MI
  • NPI 1982652103
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Blanzy

  • Family Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1306580261
  Medicare reassignment Care Compare group NPD
• Ali Ahmed Karrar, M.D.

  • Rheumatology Physician
  • Grand Blanc, MI
  • NPI 1871520239
  Medicare reassignment Care Compare group NPD
• Lisa Gay Hurley, NP

  • Family Nurse Practitioner
  • Owosso, MI
  • NPI 1508132333
  Medicare reassignment NPD
• Theresa Irene Jensen

  • Gerontology Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1639569916
  Medicare reassignment NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1689746901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 S SAGINAW ST STE 500",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392451",
            "telephone_number": "810-953-8700",
            "fax_number": "810-953-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 S SAGINAW ST STE 500",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392451",
            "telephone_number": "810-953-8700",
            "fax_number": "810-953-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN RHEUMATOLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH MOORE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "810-953-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rheumatology Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Rheumatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.