NPIMap

Organization Active NPI

Metro Health Care Center P.C.

Doing business as Metro Hyperbaric and Wound Healing Center

  • Family Medicine Physician
  • St. Clair Shores, MI
National Provider Identifier
1780656074
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
METRO HEALTH CARE CENTER P.C.
Doing business as
Metro Hyperbaric and Wound Healing Center
Practice address
23003 Greater Mack Ave
Ste. a
St. Clair Shores, MI 48080
Phone
(586) 779-6830
NPI assigned
Feb 2, 2006
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
Mr. Alex Olkhovsky
Title
V.P.
Phone
(586) 772-3403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

23003 Greater Mack Ave
Ste. a
St. Clair Shores, MI 48080

Mailing address

23003 Greater Mack Ave
Ste. a
St. Clair Shores, MI 48080
Phone (586) 779-6830

Other names 1

  • Metro Hyperbaric and Wound Healing Center Doing business as

National Provider Directory

National Provider Directory

Locations

704 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 398-2757

20210 E 9 Mile Rd
Saint Clair Shores, MI 48080
Phone (586) 779-6830

20210 E 9 Mile Rd
St Clair Shores, MI 48080
Phone (586) 772-3403

23003 Greater Mack Ave
St Clr Shores, MI 48080
Phone (586) 779-6830

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780656074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23003 GREATER MACK AVE",
            "address_2": "STE. A",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "48080",
            "telephone_number": "586-779-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23003 GREATER MACK AVE",
            "address_2": "STE. A",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "48080",
            "telephone_number": "586-779-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO HEALTH CARE CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLKHOVSKY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "586-772-3403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Hyperbaric and Wound Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Clair Shores, 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.