St Clair Adult Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST CLAIR ADULT MEDICINE PC

Practice address

22201 Moross Rd Ste 150
Detroit, MI 48236-2152

Phone

(313) 886-8787

Fax

(313) 886-4106

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary Beth Hardwicke, MD

Title

President

Phone

(586) 778-4080

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Marybeth Hardwicke, MD

  • Internal Medicine Physician
  • Saint Clair Shores, MI
  • NPI 1144228586
  NPD (past)
• Naushaba Mohiuddin, MD

  • Nephrology Physician
  • Royal Oak, MI
  • NPI 1699773879

  Internal Medicine

  NPD (past)
• Majed A Rammouni, MD

  • Internal Medicine Physician
  • St Clair Shores, MI
  • NPI 1437262318
  NPD (past)
• Parveen N Siddiqui, MD

  • Internal Medicine Physician
  • Saint Clair Shores, MI
  • NPI 1689672024
  NPD (past)
• Julie A Hendrix, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Brentwood, TN
  • NPI 1205897584
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871529552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23411 JEFFERSON AVE STE 101",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801949",
            "telephone_number": "586-778-4080",
            "fax_number": "586-778-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD STE 150",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362152",
            "telephone_number": "313-886-8787",
            "fax_number": "313-886-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR ADULT MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDWICKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-778-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia Sroka, D.O.
• Mahmoud Srour
• Youssef Srour
• St Christophers Palliative & Hospice Care of Michigan
• St Christophers Private Home Healthcare Agency of Michigan
• St George Medical Center Inc.
• St James Nursing & Physical Rehabilitation Center, Inc.
• St John Anesthesiologists, PC
• St John Detroit Riverview Hospital
• St John Detroit Riverview Hospital

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, 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 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.