Active NPI
Bi County Medical Practices
- Medical Oncology Physician
- Warren, MI
National Provider Identifier
1922322601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- Legal business name
- BI COUNTY MEDICAL PRACTICES
- Practice address
- 13355 E 10 Mile Rd
Suite 110
Warren, MI 48089-2048 - Phone
- (586) 756-7090
- Fax
- (586) 756-7091
- NPI assigned
- Mar 24, 2010
- 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
- Terry Goodbalian
- Title
- Cfo
- Phone
- (586) 263-2705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | MI | Primary |
Addresses
Primary practice location
13355 E 10 Mile Rd
Suite 110
Warren, MI 48089-2048
Mailing address
PO Box 673195
Detroit, MI 48267-3195
Phone (810) 720-5715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110E009950 | Other | MI | BCBSM/BCN |
| 700E000820 | Other | MI | BCBSM/BCN |
Other names 1
- Henry Ford Macomb Hospital Warren
National Provider Directory
National Provider Directory- Tax ID family
- Bicounty Medical Practices
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Warren, MI
- NPI 1386968063
-
- Internal Medicine Physician
- Warren, MI
- NPI 1649594326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276732800000",
"number": "1922322601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 673195",
"city": "DETROIT",
"state": "MI",
"postal_code": "482673195",
"telephone_number": "810-720-5715",
"fax_number": "810-732-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13355 E 10 MILE RD",
"address_2": "SUITE 110",
"city": "WARREN",
"state": "MI",
"postal_code": "480892048",
"telephone_number": "586-756-7090",
"fax_number": "586-756-7091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BI COUNTY MEDICAL PRACTICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-24",
"last_updated": "2010-06-17",
"status": "A",
"authorized_official_last_name": "GOODBALIAN",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "586-263-2705"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM/BCN",
"identifier": "110E009950",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM/BCN",
"identifier": "700E000820",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Henry Ford Macomb Hospital Warren",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.