Active NPI
Michigan Institute for Health Enhancement
- Nutrition Education Nutritionist
- Rochester, MI
National Provider Identifier
1861489502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 850328
- Legal business name
- MICHIGAN INSTITUTE FOR HEALTH ENHANCEMENT
- Practice address
- 4986 N. Adams Rd.
Suite D
Rochester, MI 48306-1416 - Phone
- (248) 475-4880
- Fax
- (248) 475-5777
- NPI assigned
- Sep 27, 2005
- Last updated
- Aug 31, 2012
- 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
- Dr. Algirdas Antanas Juocys, D.O.
- Title
- Chief Medical Officer
- Phone
- (248) 475-4702
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 850328 | IL | Primary |
| Nutrition Education Nutritionist | 133NN1002X | NU |
Addresses
Primary practice location
4986 N. Adams Rd.
Suite D
Rochester, MI 48306-1416
Mailing address
4986 N. Adams Rd.
Suite D
Rochester, MI 48306-1416
Phone (248) 475-4880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
611 Cascade West Pkwy SE
Grand Rapids, MI 49546
Phone (248) 475-4860
4986 N Adams Rd
Ste E
Rochester Hills, MI 48306
Phone (248) 475-4701
30061 Schoenherr Rd
Warren, MI 48088
Phone (248) 475-4728
Practitioners & affiliated clinicians
Practitioners 23
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.
-
- Internal Medicine Physician
- Madison Heights, MI
- NPI 1720079437
-
- Professional Counselor
- Mount Clemens, MI
- NPI 1588857338
-
- Registered Dietitian
- Battle Creek, MI
- NPI 1639349160
-
- Diabetes Educator Registered Nurse
- Trenton, MI
- NPI 1558595520
-
- Registered Dietitian
- Warren, MI
- NPI 1710158845
-
- Registered Dietitian
- Lansing, MI
- NPI 1265551188
-
- Registered Dietitian
- Grand Rapids, MI
- NPI 1689845125
-
- Registered Dietitian
- Rochester, MI
- NPI 1679801575
-
- Clinical Social Worker
- Flint, MI
- NPI 1154364255
-
- Registered Dietitian
- Rochester, MI
- NPI 1932228962
-
- Registered Dietitian
- Rochester, MI
- NPI 1063608016
-
- Registered Dietitian
- Warren, MI
- NPI 1447495809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346371200000",
"number": "1861489502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4986 N. ADAMS RD.",
"address_2": "SUITE D",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483061416",
"telephone_number": "248-475-4880",
"fax_number": "248-475-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4986 N. ADAMS RD.",
"address_2": "SUITE D",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483061416",
"telephone_number": "248-475-4880",
"fax_number": "248-475-5777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN INSTITUTE FOR HEALTH ENHANCEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-27",
"last_updated": "2012-08-31",
"status": "A",
"authorized_official_last_name": "JUOCYS",
"authorized_official_first_name": "ALGIRDAS",
"authorized_official_middle_name": "ANTANAS",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "248-475-4702",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "IL",
"license": "850328",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.