Tina Abraham DO PLLC

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

5101020319 Issued in MI

Legal business name

TINA ABRAHAM DO PLLC

Practice address

75 Barclay Cir Ste 205
Rochester Hills, MI 48307-5821

Phone

(248) 651-6430

NPI assigned

Jun 3, 2018

Last updated

Jun 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina Abraham, DONPI 1215376108

Title

Owner

Phone

(248) 651-6430

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Tina Elizabeth Abraham, D.O.

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1215376108
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527984000000",
    "number": "1831681113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075821",
            "telephone_number": "248-651-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075821",
            "telephone_number": "248-651-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA ABRAHAM DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-03",
        "last_updated": "2018-06-03",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-651-6430",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MI",
            "license": "5101020319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Renee Ticcony, N.P.C.
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• Lia Marie Tocco, D.C.
• Todd C Gould DO Oc
• Viktorija Todorovska Gjorgjevski

• Allergy & Immunology (Internal Medicine) Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Allergy & Immunology (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; 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.

Verify at the official NPI Registry.