Active NPI
St Clair Shores Obstetrics and Gynecology, PLC
- Obstetrics & Gynecology Physician
- Macomb, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ST CLAIR SHORES OBSTETRICS AND GYNECOLOGY, PLC
- Practice address
- 46591 Romeo Plank Rd
Suite 225
Macomb, MI 48044-5742 - Phone
- (586) 226-6155
- Fax
- (586) 226-6160
- NPI assigned
- Nov 1, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Constantine Raphtis, D.O
- Title
- Member
- Phone
- (586) 779-9400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
46591 Romeo Plank Rd
Suite 225
Macomb, MI 48044-5742
Mailing address
19714 Ten Mile Road
St Clair Shores, MI 48080
Phone (586) 779-9400
National Provider Directory
National Provider Directory- Tax ID family
- Shores OBGYN
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Shores OB/GYN
- Obstetrics & Gynecology Physician
- Saint Clair Shores, MI
- NPI 1164535886
Locations
46591 Romeo Plank Rd
Ste 225
Macomb, MI 48044
Phone (586) 226-6155
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.
-
- Obstetrics & Gynecology Physician
- Saint Clair Shores, MI
- NPI 1558354159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710065354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19714 TEN MILE ROAD",
"city": "ST CLAIR SHORES",
"state": "MI",
"postal_code": "48080",
"telephone_number": "586-779-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46591 ROMEO PLANK RD",
"address_2": "SUITE 225",
"city": "MACOMB",
"state": "MI",
"postal_code": "480445742",
"telephone_number": "586-226-6155",
"fax_number": "586-226-6160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST CLAIR SHORES OBSTETRICS AND GYNECOLOGY, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RAPHTIS",
"authorized_official_first_name": "CONSTANTINE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "586-779-9400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macomb, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.