Michigan Internal Medicine Associates,P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MICHIGAN INTERNAL MEDICINE ASSOCIATES,P.C.

Practice address

1012 W Huron St
Waterford, MI 48328-3730

Phone

(248) 681-1880

Fax

(248) 681-3698

NPI assigned

Aug 13, 2006

Last updated

Aug 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Zazaian, DONPI 1982692273

Title

Physician President

Phone

(248) 681-1880

Specialties & licenses 2

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 14

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.

• Andrew Zazaian, DO

  • Internal Medicine Physician
  • Waterford, MI
  • NPI 1982692273
  Medicare reassignment Care Compare group Authorized official
• Ali A Jishi, MD

  • Internal Medicine Physician
  • Garden City, MI
  • NPI 1922673342
  Medicare reassignment Care Compare group NPD
• Patric G Shamoon, MD

  • Pulmonary Disease Physician
  • Monroe, MI
  • NPI 1447875976
  Medicare reassignment Care Compare group NPD
• Kelly Backers

  • Physician Assistant
  • Waterford, MI
  • NPI 1205204385
  Medicare reassignment Care Compare group
• John S Zazaian, DO

  • Internal Medicine Physician
  • Waterford, MI
  • NPI 1871581934
  Medicare reassignment Care Compare group
• Mohamed Ayman, MD

  • Pulmonary Disease Physician
  • Saginaw, MI
  • NPI 1679131957

  Internal Medicine

  Medicare reassignment NPD
• Tracey Ann Haener, NP ANP-BC.

  • Adult Health Nurse Practitioner
  • Bloomfield Hills, MI
  • NPI 1295709103
  Medicare reassignment NPD
• Bashar Hammad, MD

  • General Practice Physician
  • Pontiac, MI
  • NPI 1639855570

  Internal Medicine

  Medicare reassignment NPD
• Karthik S Ramaseshan, MD

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1023633559
  Medicare reassignment NPD
• Mohanad Suede, MD

  • Gastroenterology Physician
  • Clinton Township, MI
  • NPI 1720436843
  Medicare reassignment NPD
• Jason G. Kaplan, MD

  • Interventional Cardiology Physician
  • Cedar Knolls, NJ
  • NPI 1912491853

  Internal Medicine, MI

  Medicare reassignment NPD
• Riley Jo Larner

  • Physician Assistant
  • Novi, MI
  • NPI 1194485904
  Medicare reassignment

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1902818230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48328",
            "telephone_number": "248-681-1880",
            "fax_number": "248-681-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283730",
            "telephone_number": "248-681-1880",
            "fax_number": "248-681-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INTERNAL MEDICINE ASSOCIATES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "ZAZAIAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "248-681-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Waterford, MI
• Providers in Waterford, 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 28, 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.