Organization Active NPI

Martin Garber DO and Kathleen Menerey MD PC

  • Rheumatology Physician
  • Ypsilanti, MI
National Provider Identifier
1811099583
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
5101009637 Issued in MI
Legal business name
MARTIN GARBER DO AND KATHLEEN MENEREY MD PC
Doing business as
ANN ARBOR RHEUMATOLOGY
Practice address
3145 W Clark Rd
Suite 202
Ypsilanti, MI 48197-1120
Phone
(734) 477-0211
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Martin Garber, DO
Title
Owner
Phone
(734) 477-0211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 5101009637 MI Primary

Addresses

Primary practice location

3145 W Clark Rd
Suite 202
Ypsilanti, MI 48197-1120

Mailing address

3145 W Clark Rd
Suite 202
Ypsilanti, MI 48197-1120
Phone (734) 477-0211

Other identifiers 2

IdentifierTypeStateIssuer
4150740MedicaidMI
4150730MedicaidMI

Other names 1

  • ANN ARBOR RHEUMATOLOGY Doing business as

National Provider Directory

National Provider Directory

Locations

2004 Hogback Rd
Ste 1
Ann Arbor, MI 48105
Phone (734) 477-0211

3145 W Clark Rd
Ste 202
Ypsilanti, MI 48197
Phone (734) 477-0211

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1811099583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD",
            "address_2": "SUITE 202",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971120",
            "telephone_number": "734-477-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD",
            "address_2": "SUITE 202",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971120",
            "telephone_number": "734-477-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN GARBER DO AND KATHLEEN MENEREY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-477-0211",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "5101009637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4150740",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4150730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANN ARBOR RHEUMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.