Active NPI
Michigan Rheumatology Group PC
- Rheumatology Physician
- Lapeer, MI
National Provider Identifier
1801968144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- MICHIGAN RHEUMATOLOGY GROUP PC
- Practice address
- 1254 N Main St
Lapeer, MI 48446-1343 - Phone
- (810) 667-0067
- Fax
- (810) 667-0074
- NPI assigned
- Nov 14, 2006
- 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. Barbara A McIntosh Moore, MD
- Title
- MD
- Phone
- (810) 667-0067
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
1254 N Main St
Lapeer, MI 48446-1343
Mailing address
1254 N Main St
Lapeer, MI 48446-1343
Phone (810) 667-4356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Rheumatology Physician
- Grand Blanc, MI
- NPI 1689746901
O20040501000237
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Grand Blanc, MI
- NPI 1982652103
-
- Family Nurse Practitioner
- Grand Blanc, MI
- NPI 1306580261
-
- Family Nurse Practitioner
- Owosso, MI
- NPI 1508132333
-
- Gerontology Nurse Practitioner
- Grand Blanc, MI
- NPI 1639569916
-
- Rheumatology Physician
- Grand Blanc, MI
- NPI 1871520239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583193600000",
"number": "1801968144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1254 N MAIN ST",
"city": "LAPEER",
"state": "MI",
"postal_code": "484461343",
"telephone_number": "810-667-4356",
"fax_number": "810-667-7356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1254 N MAIN ST",
"city": "LAPEER",
"state": "MI",
"postal_code": "484461343",
"telephone_number": "810-667-0067",
"fax_number": "810-667-0074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN RHEUMATOLOGY GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A",
"authorized_official_last_name": "MCINTOSH MOORE",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "810-667-0067",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.