Individual provider Active NPI

James Allen Grekin, D.O.

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1740485036
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101005064 Issued in MI
Practice address
36708 Tanglewood LN
Farmington Hills, MI 48331-1946
Phone
(248) 788-5033
Fax
(248) 788-5034
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101005064 MI Primary

Addresses

Primary practice location

36708 Tanglewood LN
Farmington Hills, MI 48331-1946

Mailing address

36708 Tanglewood LN
Farmington Hills, MI 48331-1946
Phone (248) 788-5033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101005064MIMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740485036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36708 TANGLEWOOD LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311946",
            "telephone_number": "248-788-5033",
            "fax_number": "248-788-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36708 TANGLEWOOD LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311946",
            "telephone_number": "248-788-5033",
            "fax_number": "248-788-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREKIN",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101005064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.