Organization Active NPI

Reuben D Eliuk, DO, PLC

  • Internal Medicine Physician
  • Garden City, MI
National Provider Identifier
1780856393
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101007332 Issued in MI
Legal business name
REUBEN D ELIUK, DO, PLC
Practice address
6255 Inkster Rd
Suite 101
Garden City, MI 48135-2577
Phone
(734) 421-4850
Fax
(734) 421-6635
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Reuben D Eliuk, DONPI 1205987724
Title
Owner
Phone
(734) 421-4850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 5101007332 MI Primary

Addresses

Primary practice location

6255 Inkster Rd
Suite 101
Garden City, MI 48135-2577

Mailing address

6255 Inkster Rd
Suite 101
Garden City, MI 48135-2577
Phone (734) 421-4850

Other identifiers 3

IdentifierTypeStateIssuer
P17110001OtherMIMEDICARE PROVIDER NUMBER
1205987724OtherMIINDIVIDUAL NPI
1780856393OtherMIGROUP NPI

Other names 1

  • Reuben D Eliuk, DO Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1780856393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 101",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-421-4850",
            "fax_number": "734-421-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 101",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-421-4850",
            "fax_number": "734-421-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REUBEN D ELIUK, DO, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "ELIUK",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-421-4850",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101007332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "P17110001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1205987724",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1780856393",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reuben D Eliuk, DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.