Organization Active NPI

Tyrone Chatman Etal PTR Martrilla Ross Gen PTR

  • Clinic/Center
  • Southfield, MI
National Provider Identifier
1851583215
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301039079 Issued in MI
Legal business name
TYRONE CHATMAN ETAL PTR MARTRILLA ROSS GEN PTR
Doing business as
ACUPUNCTURE TREATMENT CONCEPTS
Practice address
17650 W 12 Mile Rd
Southfield, MI 48076-1911
Phone
(313) 871-9940
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Mrs. Martrilla Marie Ross-Chatman, RNNPI 1538285861
Title
Administrator
Phone
(313) 871-9940

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
Clinic/Center 261Q00000X 4301039079 MI Primary

Addresses

Primary practice location

17650 W 12 Mile Rd
Southfield, MI 48076-1911

Mailing address

17650 W 12 Mile Rd
Southfield, MI 48076-1911
Phone (313) 871-9940

Other identifiers 3

IdentifierTypeStateIssuer
1851583215OtherMINPI
1891701884OtherMINPI
OM83260OtherMIMEDICARE

Other names 1

  • ACUPUNCTURE TREATMENT CONCEPTS Doing business as

National Provider Directory

National Provider Directory

Locations

17650 W 12 Mile Rd
Southfield, MI 48076
Phone (248) 569-6450

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1851583215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17650 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761911",
            "telephone_number": "313-871-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17650 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761911",
            "telephone_number": "313-871-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRONE CHATMAN ETAL PTR MARTRILLA ROSS GEN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "ROSS-CHATMAN",
        "authorized_official_first_name": "MARTRILLA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-871-9940",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301039079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851583215",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891701884",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OM83260",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACUPUNCTURE TREATMENT CONCEPTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.