Michigan Medical Associates, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MICHIGAN MEDICAL ASSOCIATES, P.C.

Practice address

851 S Main St Ste B
Plymouth, MI 48170-2086

Phone

(734) 453-5100

Fax

(734) 453-3538

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Yola B Atwood

Title

Office Manager

Phone

(734) 453-5100

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Shylaja Gontina-Khatiwala, MD

  • Addiction Medicine (Family Medicine) Physician
  • South Lyon, MI
  • NPI 1205836137
  NPD (past)
• Robert Gordon, DO

  • Family Medicine Physician
  • Plymouth, MI
  • NPI 1588663413
  NPD (past)
• Joan Marie Westbrook, PA-C

  • Physician Assistant
  • Ann Arbor, MI
  • NPI 1689732984
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1780696328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S MAIN ST STE B",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702086",
            "telephone_number": "734-453-5100",
            "fax_number": "734-453-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S MAIN ST STE B",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702086",
            "telephone_number": "734-453-5100",
            "fax_number": "734-453-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "ATWOOD",
        "authorized_official_first_name": "YOLA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-453-5100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1649242280",
            "identifier": "1649242280",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1578608063",
            "identifier": "15786063",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Birdie Health PC
• Michigan Health Psychologists PLLC
• Michigan Infusion and Licensed Healthcare
• Michigan Infusion Services and Licensed Healthcare
• Michigan Life Medicine
• Michigan Rehabilitation Specialists of Plymouth Inc
• Lee Covey Michna, M.S.
• Erica Mickens
• Katese Mickle
• Meghan Mihailovich

• Primary Care Clinic/Center in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.