Organization Active NPI

General Medicine, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Novi, MI
National Provider Identifier
1811945199
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
GENERAL MEDICINE, P.C.
Practice address
21333 Haggerty Rd
Suite 150
Novi, MI 48375-5510
Phone
(248) 662-0250
Fax
(248) 662-9844
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Thomas Mark Prose, M.D.
Title
President
Phone
(248) 662-0250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X MI Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X MI

Addresses

Primary practice location

21333 Haggerty Rd
Suite 150
Novi, MI 48375-5510

Mailing address

21333 Haggerty Rd
Suite 150
Novi, MI 48375-5510
Phone (248) 662-0250

Other identifiers 7

IdentifierTypeStateIssuer
CB2699OtherILMETRAHEALTH RR
506127307MedicaidMO
1452653MedicaidLA
09830139OtherILBLUE CROSS/BLUE SHIELD
500F329520OtherMIBLUE CROSS/BLUE SHIELD
CC4797OtherMIMETRAHEALTH RR
DA1347OtherMIMETRAHEALTH RR

National Provider Directory

National Provider Directory

Locations (25 of 27)

207 E Army Trail Rd
Bloomingdale, IL 60108
Phone (630) 523-5783

1512 W Fargo Ave
Chicago, IL 60626
Phone (773) 465-7751

5107 W Jackson Blvd
Chicago, IL 60644
Phone (312) 388-5673

1016 W Pershing Rd
Decatur, IL 62526
Phone (217) 875-0833

15535 Dixie Hwy
Harvey, IL 60426
Phone (708) 339-6438

1 Perryman St
Lebanon, IL 62254
Phone (618) 537-6165

1270 Franciscan Dr
Lemont, IL 60439
Phone (630) 243-3400

310 Banbury Rd
North Aurora, IL 60542
Phone (630) 892-7627

415 A St
Prophetstown, IL 61277
Phone (815) 337-5358

3330 Maria Linden Dr
Rockford, IL 61114
Phone (815) 877-7415

2313 N Rockton Ave
Rockford, IL 61103
Phone (815) 964-2200

9000 Lavergne Ave
Skokie, IL 60077
Phone (847) 679-2322

4600 Golf Rd
Skokie, IL 60076
Phone (847) 673-8648

2145 E 170th St
South Holland, IL 60473
Phone (708) 849-5000

210 N Plaza Dr
Lansing, KS 66043
Phone (913) 727-1284

9171 Cockerham Rd
Denham Springs, LA 70726
Phone (225) 523-5136

13001 Chef Menteur Hwy
New Orleans, LA 70129
Phone (504) 254-7150

59215 River West Dr
Plaquemine, LA 70764
Phone (225) 687-0240

3265 122nd Ave
Allegan, MI 49010
Phone (269) 673-0285

449 Quarter St
Gladwin, MI 48624
Phone (989) 246-6302

306 S Main St
Ste 3000
Plymouth, MI 48170
Phone (734) 453-6970

5301 Harry S Truman Dr
Grandview, MO 64030
Phone (816) 433-4618

11900 Jessica Ln
Raytown, MO 64138
Phone (816) 358-7858

3002 N 18th St
Saint Joseph, MO 64505
Phone (816) 364-4200

9500 Bellefontaine Rd
Saint Louis, MO 63137
Phone (314) 338-0796

Practitioners & affiliated clinicians

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1811945199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21333 HAGGERTY RD",
            "address_2": "SUITE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755510",
            "telephone_number": "248-662-0250",
            "fax_number": "248-662-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21333 HAGGERTY RD",
            "address_2": "SUITE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755510",
            "telephone_number": "248-662-0250",
            "fax_number": "248-662-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "PROSE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-662-0250",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRAHEALTH RR",
            "identifier": "CB2699",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506127307",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452653",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "09830139",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "500F329520",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRAHEALTH RR",
            "identifier": "CC4797",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRAHEALTH RR",
            "identifier": "DA1347",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.