Infection Care Specialist of Michigan Lakes

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

INFECTION CARE SPECIALIST OF MICHIGAN LAKES

Practice address

2300 Haggerty Rd
Suite 1190
West Bloomfield, MI 48323-2184

Phone

(248) 932-5666

Fax

(248) 932-5660

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce E Ruben, MDNPI 1740376714

Title

Owner

Phone

(248) 932-5666

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Bruce Eric Ruben, MD

  • Infectious Disease Physician
  • West Bloomfield, MI
  • NPI 1740376714
  NPD Authorized official
• James J Gordon, M.D.

  • Infectious Disease Physician
  • Novi, MI
  • NPI 1144239559
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861618365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 1190",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-932-5666",
            "fax_number": "248-932-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 1190",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-932-5666",
            "fax_number": "248-932-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTION CARE SPECIALIST OF MICHIGAN LAKES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-932-5666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikola Ilic
• Impact Integrated Services, LLC
• Imperial Care LLC
• Masud Imran, M.D.
• Lee Imus
• Infinity Diagnostics Inc
• Infinity Primary Care, PLLC (Associates in Internal Medicine)
• Inner Connections LLC
• Inner Piece
• Innovative Thinking LLC

• Infectious Disease Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.