Monroe Arthritis Clinic PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

4301093250 Issued in MI

Legal business name

MONROE ARTHRITIS CLINIC PLLC

Practice address

730 N Macomb St
Suite 320
Monroe, MI 48162-2900

Phone

(734) 682-5524

NPI assigned

Sep 24, 2008

Last updated

Jan 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mazen Elyan

Title

Owner

Phone

(734) 682-5524

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1760632962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N MACOMB ST",
            "address_2": "SUITE 320",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622900",
            "telephone_number": "734-682-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MACOMB ST",
            "address_2": "SUITE 320",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622900",
            "telephone_number": "734-682-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE ARTHRITIS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "ELYAN",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-682-5524",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301093250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "EL7369971",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1104978048",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2706316",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manzur Moidunny, MD
• Julia Ann Mominee, RN BSN
• Mon Rex LLC (Rexall Monroe Pharmacy)
• Diana Marie Monday, MA, LLPC
• Monroe After Hours Primary Care PC
• Monroe Cancer Center
• Monroe Community Ambulance
• Monroe Community Health Services (Mercy Memorial Outpatient Surgery Center)
• Monroe Community Health Services (ProMedica Skilled Nursing and Rehabilitation (Monroe))
• Monroe Community Health Services (Mercy Memorial Outpatient Surgery Center)

• Rheumatology Physician in Monroe, MI
• Providers in Monroe, MI by specialty
• Rheumatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.