CMG Partners, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CMG PARTNERS, PC

Practice address

5701 Bow Pointe Dr
Suite 100
Clarkston, MI 48346-3198

Phone

(248) 625-2621

Fax

(248) 625-2622

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Renny Abraham, MD

Title

President/Secretary

Phone

(248) 625-2621

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 3

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

• Tameem S Husain, D.O.

  • Emergency Medicine Physician
  • Cass City, MI
  • NPI 1407025745
  NPD (past)
• Ibrahim A Abdulrahman, MD

  • Pediatrics Physician
  • Kennewick, WA
  • NPI 1801081948

  Internal Medicine

  NPD (past)
• Jenna Lynn Moscherosch, MS PAC

  • Medical Physician Assistant
  • North Branch, MN
  • NPI 1356653760
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1932292166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR",
            "address_2": "SUITE 100",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463198",
            "telephone_number": "248-625-2621",
            "fax_number": "248-625-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR",
            "address_2": "SUITE 100",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463198",
            "telephone_number": "248-625-2621",
            "fax_number": "248-625-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMG PARTNERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "RENNY",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "248-625-2621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932292166",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "700F313410",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP",
            "identifier": "700F313410",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Clemence, NP-C
• Matthew Joseph Cleveland
• Candice Cline
• Karissa Cloud
• Vickie Clouse, LMSW
• Morgan Rae Coakley
• Coddaire & Associates, Inc.
• Stephanie Ann Coleman, PA-C
• Communication Connection Speech and Language Therapy, LLC
• Compass Speech Language Services LLC

• Clinic/Center in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.