Great Lakes Internist PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301065345 Issued in MI

Legal business name

GREAT LAKES INTERNIST PC

Practice address

35000 Division Rd
Suite 9
Richmond, MI 48062-1566

Phone

(586) 228-8606

NPI assigned

Jan 19, 2007

Last updated

Jul 2, 2013By 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. Mouhamad F Rihawi, MDNPI 1699769653

Title

President

Phone

(586) 727-7209

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Mouhamad F Rihawi, M.D

  • Internal Medicine Physician
  • Clinton TWP, MI
  • NPI 1699769653
  Medicare reassignment Authorized official
• Dong Yeon Moon, MD

  • Internal Medicine Physician
  • Richmond, MI
  • NPI 1710978952
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1962555227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35000 DIVISION RD",
            "address_2": "SUITE 9",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621566",
            "telephone_number": "586-727-7209",
            "fax_number": "586-727-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35000 DIVISION RD",
            "address_2": "SUITE 9",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621566",
            "telephone_number": "586-228-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES INTERNIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "RIHAWI",
        "authorized_official_first_name": "MOUHAMAD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-727-7209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301065345",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301065345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Goss
• Tonia Gott
• Kassie Gottschalk
• William Ronald Grant II, CAC-R
• Gary Paul Gray, M.S.
• Kimberly Green
• Chelsea Ann Griebe, DDS
• Shana Jean Griffith, LLMSW
• Eric P Groeneveld, DDS
• Growing Smiles, PLLC

• Internal Medicine Physician in Richmond, MI
• Providers in Richmond, 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 Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.