Organization Active NPI

Amethyst Medical Offices PLC

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1699813006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301406975 Issued in MI
Legal business name
AMETHYST MEDICAL OFFICES PLC
Doing business as
Docrxtor Patience Medical Clinics PLC
Practice address
3741 McDougall St
Suite 2
Detroit, MI 48207-2345
Phone
(313) 921-4327
Fax
(313) 921-3628
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alexa Joshua, MDNPI 1699869438
Title
Founder President
Phone
(313) 921-4327

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301406975 MI Primary

Addresses

Primary practice location

3741 McDougall St
Suite 2
Detroit, MI 48207-2345

Mailing address

8200 E Jefferson Ave
Apt 709
Detroit, MI 48214-3974
Phone (313) 822-0308

Other identifiers 2

IdentifierTypeStateIssuer
4241290MedicaidMI
1699869438OtherMINPI

Other names 1

  • Docrxtor Patience Medical Clinics PLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070509000049 MI Part B Supplier - Clinic/Group Practice 5092811000 Receives reassigned benefits from 1 practitioner
Practice locations: Southfield, MI

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699813006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E JEFFERSON AVE",
            "address_2": "APT 709",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143974",
            "telephone_number": "313-822-0308",
            "fax_number": "313-921-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 MCDOUGALL ST",
            "address_2": "SUITE 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072345",
            "telephone_number": "313-921-4327",
            "fax_number": "313-921-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST MEDICAL OFFICES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSHUA",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_title_or_position": "FOUNDER PRESIDENT",
        "authorized_official_telephone_number": "313-921-4327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301406975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4241290",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699869438",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Docrxtor Patience Medical Clinics PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.