NPIMap

Organization Active NPI

Nicolas Marsheh, MD,PC

Doing business as Forum Medical Clinic

  • Internal Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1942504790
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NICOLAS MARSHEH, MD,PC
Doing business as
Forum Medical Clinic
Practice address
44645 Mound Rd
Sterling Heights, MI 48314-1321
Phone
(586) 580-0280
Fax
(586) 580-0281
NPI assigned
Jan 7, 2011
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Jenna Hope, BSHSA
Title
Practice Administrator
Phone
(586) 580-0282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

44645 Mound Rd
Sterling Heights, MI 48314-1321

Mailing address

44645 Mound Rd
Sterling Heights, MI 48314-1321
Phone (586) 580-0280

Other identifiers 1

IdentifierTypeStateIssuer
4862444MedicaidMI

Other names 1

  • Forum Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Forum Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1942504790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44645 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141321",
            "telephone_number": "586-580-0280",
            "fax_number": "586-580-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44645 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141321",
            "telephone_number": "586-580-0280",
            "fax_number": "586-580-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS MARSHEH, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "HOPE",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "586-580-0282",
        "authorized_official_credential": "BSHSA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4862444",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forum Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.