Michelle Calhoun, D.O., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101012320 Issued in MI

Legal business name

MICHELLE CALHOUN, D.O., P.C.

Practice address

22100 Greenfield Rd
Oak Park, MI 48237-2550

Phone

(248) 967-3200

Fax

(248) 967-1387

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Aquarius Bouier

Title

Administrator

Phone

(248) 967-3200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1851416929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22100 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372550",
            "telephone_number": "248-967-3200",
            "fax_number": "248-967-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22100 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372550",
            "telephone_number": "248-967-3200",
            "fax_number": "248-967-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE CALHOUN, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BOUIER",
        "authorized_official_first_name": "AQUARIUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-967-3200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101012320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5101012320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "56310495",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.