M.W. Eustace M.D. PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301056842 Issued in MI

Legal business name

M.W. EUSTACE M.D. PLC

Practice address

1032 N Irish Rd
Davison, MI 48423-2209

Phone

(810) 658-2131

Fax

(810) 658-3500

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Manoharan Eustace, M.D.NPI 1487614723

Title

President

Phone

(810) 658-2131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Manoharan W Eustace, MD

  • Internal Medicine Physician
  • Davison, MI
  • NPI 1487614723
  Medicare reassignment Authorized official
• Michelle Ann Hyjek, FNP

  • Family Nurse Practitioner
  • Davison, MI
  • NPI 1366031056
  NPD (past)
• Margaret Linn McAllister

  • Nurse Practitioner
  • Flint, MI
  • NPI 1124084116
  NPD (past)
• Edward Christy, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Daytona Beach, FL
  • NPI 1750304945
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881725893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 N IRISH RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232209",
            "telephone_number": "810-658-2131",
            "fax_number": "810-658-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 N IRISH RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232209",
            "telephone_number": "810-658-2131",
            "fax_number": "810-658-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.W. EUSTACE M.D. PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EUSTACE",
        "authorized_official_first_name": "MANOHARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-658-2131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301056842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lipka
• Jennifer Logan
• Love and Healing Therapy
• Joseph B. Luna, M.D.
• M Saleem MD PC
• Chanel Macnaughton, COTA
• Jessica Elizabeth Macsuga, DPM
• Madisen Macwebb, SLP
• Martin James Mahoney, AU.D.
• Nicole Marie Majeed

• Specialist in Davison, MI
• Providers in Davison, MI by specialty
• Specialist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.