Active NPI
Elaine G Chottiner, M.D.
- Hematology & Oncology Physician
- Plymouth, MI
National Provider Identifier
1992705701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 044021
- Practice address
- 9293 Brookville Rd
Plymouth, MI 48170-5007 - Phone
- (734) 679-3589
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301044021 | MI | |
| Hematology & Oncology Physician | 207RH0003X | 044021 | MI | Primary |
Addresses
Primary practice location
9293 Brookville Rd
Plymouth, MI 48170-5007
Mailing address
9293 Brookville Rd
Plymouth, MI 48170-5007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044021 | MI | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1992705701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9293 BROOKVILLE RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481705007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9293 BROOKVILLE RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481705007",
"telephone_number": "734-679-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOTTINER",
"first_name": "ELAINE",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301044021",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "044021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.