Active NPI
Tyrone Chatman Etal PTR Martrilla Ross Gen PTR
- Clinic/Center
- Southfield, MI
National Provider Identifier
1851583215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 4301039079
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Martrilla Marie Ross-Chatman, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851583215 | Other | MI | NPI |
| 1891701884 | Other | MI | NPI |
| OM83260 | Other | MI | MEDICARE |
Other names 1
- ACUPUNCTURE TREATMENT CONCEPTS
National Provider Directory
National Provider DirectoryLocations
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.
-
- Administrator Registered Nurse
- Southfield, MI
- NPI 1538285861
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.