Active NPI
Anthony Aenlle MD PC
Doing business as Clarkston Clinic
- Internal Medicine Physician
- Clarkston, MI
National Provider Identifier
1801959168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- AA037536
- Legal business name
- ANTHONY AENLLE MD PC
- Doing business as
- Clarkston Clinic
- Practice address
- 6815 Dixie Highway
Clarkston, MI 48346 - Phone
- (248) 625-1011
- Fax
- (248) 625-0226
- NPI assigned
- Dec 18, 2006
- Last updated
- Dec 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Aenlle, MD
- Title
- President
- Phone
- (248) 625-1011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | AA037536 | MI | Primary |
Addresses
Primary practice location
6815 Dixie Highway
Clarkston, MI 48346
Mailing address
6815 Dixie Highway
Clarkston, MI 48346
Phone (248) 625-1011
Other names 1
- Clarkston Clinic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Clarkston, MI
- NPI 1760524318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260316800000",
"number": "1801959168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6815 DIXIE HIGHWAY",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "48346",
"telephone_number": "248-625-1011",
"fax_number": "248-625-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 DIXIE HIGHWAY",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "48346",
"telephone_number": "248-625-1011",
"fax_number": "248-625-0226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY AENLLE MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2009-12-09",
"status": "A",
"authorized_official_last_name": "AENLLE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-625-1011",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "AA037536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clarkston Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.