NPIMap

Organization Active NPI

Miro-Monroe

Doing business as American Oncologic Associates of Michigan, PC

  • Radiation Oncology Physician
  • Monroe, MI
National Provider Identifier
1720053135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
MIRO-MONROE
Doing business as
American Oncologic Associates of Michigan, PC
Practice address
1085 N Macomb St
Monroe, MI 48162-3126
Phone
(734) 241-1900
Fax
(734) 241-3737
NPI assigned
Feb 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Farideh R. Bagne, PH.D., J.D.
Title
Ceo
Phone
(248) 338-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X Primary

Addresses

Primary practice location

1085 N Macomb St
Monroe, MI 48162-3126

Mailing address

70 Fulton St
Pontiac, MI 48341-2755
Phone (248) 338-0300

Other names 1

  • American Oncologic Associates of Michigan, PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
American Oncologic Associates of Michigan PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

75 Remittance Dr
Ste 2227
Chicago, IL 60675

30365 Dequindre Rd
Ste C
Madison Heights, MI 48071

4550 Investment Dr
Ste B111
Troy, MI 48098
Phone (248) 952-5019

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720053135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 FULTON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412755",
            "telephone_number": "248-338-0300",
            "fax_number": "248-338-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623126",
            "telephone_number": "734-241-1900",
            "fax_number": "734-241-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRO-MONROE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAGNE",
        "authorized_official_first_name": "FARIDEH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-338-0300",
        "authorized_official_credential": "PH.D., J.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Oncologic Associates of Michigan, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, 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.

Verify at the official NPI Registry.