Active NPI
Metro Medical Practice PC
- Obstetrics & Gynecology Physician
- Troy, MI
National Provider Identifier
1740223239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- SJ033023
- Legal business name
- METRO MEDICAL PRACTICE PC
- Practice address
- 2891 E Maple Rd
Suite 102
Troy, MI 48083-6106 - Phone
- (248) 524-9085
- Fax
- (248) 524-9086
- NPI assigned
- Jun 13, 2006
- 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
- Mrs. Natalia Rutkovsky
- Title
- Office Menager
- Phone
- (248) 524-9085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | SJ033023 | MI | Primary |
Addresses
Primary practice location
2891 E Maple Rd
Suite 102
Troy, MI 48083-6106
Mailing address
2891 E Maple Rd
Suite 102
Troy, MI 48083-6106
Phone (248) 524-9085
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132060 | Other | MI | CARE CHOICES |
| 101958265 | Medicaid | MI | |
| 700F325720 | Other | MI | BLUE CROSS BLUE SHIELD |
Other names 1
- Metro Medical Practice
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Troy, MI
- NPI 1346273802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709164800000",
"number": "1740223239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2891 E MAPLE RD",
"address_2": "SUITE 102",
"city": "TROY",
"state": "MI",
"postal_code": "480836106",
"telephone_number": "248-524-9085",
"fax_number": "248-524-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2891 E MAPLE RD",
"address_2": "SUITE 102",
"city": "TROY",
"state": "MI",
"postal_code": "480836106",
"telephone_number": "248-524-9085",
"fax_number": "248-524-9086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO MEDICAL PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A",
"authorized_official_last_name": "RUTKOVSKY",
"authorized_official_first_name": "NATALIA",
"authorized_official_title_or_position": "OFFICE MENAGER",
"authorized_official_telephone_number": "248-524-9085",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "SJ033023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "132060",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101958265",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "700F325720",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Metro Medical Practice",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.