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Michigan Healthcare Professionals PC

Organization Active NPI Critical Care Medicine (Anesthesiology) Physician · Farmington Hills, MI

NPI 1831956986 · NPPES record last updated Sep 6, 2024

Key facts

NPI
1831956986
Entity type
Organization (NPI type 2)
Primary specialty
Critical Care Medicine (Anesthesiology) Physician 207LC0200X
Legal business name
MICHIGAN HEALTHCARE PROFESSIONALS PC
Practice address
29992 Northwestern Hwy
Farmington Hills, MI 48334-3292
Phone
(248) 851-1430
NPI assigned
Mar 5, 2024
Organization subpart
Yes
Parent organization (as reported)
MICHIGAN HEALTHCARE PROFESSIONALS PC

Authorized official

Name
Lynda Assunta Glasser
Title
Cpa, Cgma
Phone
(248) 851-3300

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Practitioners 529

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

View all 529

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240321002513 MI Part B Supplier - Clinic/Group Practice 0345413258 Receives reassigned benefits from 5 practitioners
Practice locations: Pontiac, MI

National Provider Directory

Tax ID family
Michigan Healthcare Professionals (29 organizations share this tax ID)
Part of
Michigan Healthcare Professionals

Locations

44200 Woodward Ave
Ste 112
Pontiac, MI 48341
Phone (248) 384-8100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207LC0200X Yes
Pain Medicine (Anesthesiology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207LP2900X

Addresses

Primary practice location

29992 Northwestern Hwy
Farmington Hills, MI 48334-3292

Mailing address

29992 Northwestern Hwy
Farmington Hills, MI 48334-3292

Other providers in Farmington Hills, MI

All providers in Farmington Hills, MI · Critical Care Medicine (Anesthesiology) Physician in Michigan

Sources for this page

Verify at the official NPI Registry.