NPIMap

Organization Active NPI

LTC Physician Care PC

  • Geriatric Medicine (Family Medicine) Physician
  • Bingham Farms, MI
National Provider Identifier
1841991817
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
LTC PHYSICIAN CARE PC
Practice address
30600 Telegraph Rd Ste 1130
Bingham Farms, MI 48025-4531
Phone
(248) 621-0371
NPI assigned
Mar 15, 2023
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Steven Merahn, MDNPI 1821225756
Title
Owner
Phone
(917) 689-8954

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)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

30600 Telegraph Rd Ste 1130
Bingham Farms, MI 48025-4531

Mailing address

30600 Telegraph Rd Ste 1130
Bingham Farms, MI 48025-4531
Phone (248) 621-0371

Other practice location 1

8380 Geddes Rd
Superior Twp, MI 48198-9404
Phone (248) 621-0370

Other practice location 2

31155 Dequindre Rd
Madison Heights, MI 48071-1566
Phone (248) 621-0370

Other practice location 3

13030 Commercial St
LaMont, MI 49430-8800
Phone (248) 621-0370

Other practice location 4

3400 Wilson Ave SW
Grandville, MI 49418-1854
Phone (248) 621-0370

Other practice location 5

1095 Medical Park Dr SE
Grand Rapids, MI 49546-3685
Phone (248) 621-0370

Other practice location 6

17001 17 Mile Rd
Clinton Twp, MI 48038-2801
Phone (248) 621-0370

Other practice location 7

535 N Main St
Clawson, MI 48017-1526
Phone (248) 621-0370

Other practice location 8

18200 W 13 Mile Rd
Beverly Hills, MI 48025-5446
Phone (248) 621-0370

Other practice location 9

414 E State St
Belding, MI 48809-2200
Phone (248) 621-0370

Other practice location 10

400 Jeffrey St
Cedar Springs, MI 49319-9572
Phone (248) 621-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230620001465 MI Part B Supplier - Clinic/Group Practice 8224496575 Receives reassigned benefits from 36 practitioners
Practice locations: Ishpeming, MI; Wyoming, MI; Holly, MI; Hancock, MI; Greenville, MI; Grandville, MI; Grand Rapids, MI; Jackson, MI…

National Provider Directory

National Provider Directory

Locations

30600 Telegraph Rd
Bingham Farms, MI 48025

30600 Telegraph Rd
#E1130
Bingham Farms, MI 48025

30600 Telegraph Rd
Ste 1130
Bingham Farms, MI 48025
Phone (248) 621-0371

30600 Telegraph Rd
Ste E1130
Bingham Farms, MI 48025

13030 Commercial St
Lamont, MI 49430
Phone (616) 677-1243

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1841991817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 1130",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254531",
            "telephone_number": "248-621-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 1130",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254531",
            "telephone_number": "248-621-0371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8380 Geddes Rd",
            "address_purpose": "LOCATION",
            "city": "Superior Twp",
            "state": "MI",
            "postal_code": "481989404",
            "country_code": "US",
            "telephone_number": "248-621-0370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31155 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480711566",
            "country_code": "US",
            "telephone_number": "248-621-0370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13030 Commercial St",
            "address_purpose": "LOCATION",
            "city": "LaMont",
            "state": "MI",
            "postal_code": "494308800",
            "country_code": "US",
            "telephone_number": "248-621-0370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Wilson Ave SW",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494181854",
            "country_code": "US",
            "telephone_number": "248-621-0370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 Medical Park Dr SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495463685",
            "country_code": "US",
            "telephone_number": "248-621-0370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17001 17 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480382801",
            "country_code": "US",
            "telephone_number": "248-621-0370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 N Main St",
            "address_purpose": "LOCATION",
            "city": "Clawson",
            "state": "MI",
            "postal_code": "480171526",
            "country_code": "US",
            "telephone_number": "248-621-0370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18200 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480255446",
            "country_code": "US",
            "telephone_number": "248-621-0370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 E State St",
            "address_purpose": "LOCATION",
            "city": "Belding",
            "state": "MI",
            "postal_code": "488092200",
            "country_code": "US",
            "telephone_number": "248-621-0370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Jeffrey St",
            "address_purpose": "LOCATION",
            "city": "Cedar Springs",
            "state": "MI",
            "postal_code": "493199572",
            "country_code": "US",
            "telephone_number": "248-621-0370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LTC PHYSICIAN CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "MERAHN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-689-8954",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.