Active NPI
Associates of Internal Medicine, P.C.
- Internal Medicine Physician
- Troy, MI
National Provider Identifier
1992881767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301042604
- Legal business name
- ASSOCIATES OF INTERNAL MEDICINE, P.C.
- Practice address
- 38865 Dequindre Rd
Suite 106
Troy, MI 48083-6812 - Phone
- (248) 720-2626
- NPI assigned
- Oct 27, 2006
- Organization subpart
- Yes
- Parent organization
- ASSOCIATES OF INTERNAL MEDICINE, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rose Olszewski
- Title
- Office Manager
- Phone
- (248) 720-2626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301042604 | MI | Primary |
Addresses
Primary practice location
38865 Dequindre Rd
Suite 106
Troy, MI 48083-6812
Mailing address
38865 Dequindre Rd
Suite 106
Troy, MI 48083-6812
Phone (248) 720-2626
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3220859 | Medicaid | MI | |
| 3220868 | Medicaid | MI | |
| CI6216 | Other | MI | MEDICARE RAILROAD |
| 4188667 | Medicaid | MA |
National Provider Directory
National Provider Directory- Part of
- Assoc of Internal Med
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Internal Medicine Physician
- Port Huron, MI
- NPI 1326230970
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1992881767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38865 DEQUINDRE RD",
"address_2": "SUITE 106",
"city": "TROY",
"state": "MI",
"postal_code": "480836812",
"telephone_number": "248-720-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38865 DEQUINDRE RD",
"address_2": "SUITE 106",
"city": "TROY",
"state": "MI",
"postal_code": "480836812",
"telephone_number": "248-720-2626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES OF INTERNAL MEDICINE, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASSOCIATES OF INTERNAL MEDICINE, P.C.",
"enumeration_date": "2006-10-27",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "OLSZEWSKI",
"authorized_official_first_name": "ROSE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "248-720-2626",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301042604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3220859",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3220868",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CI6216",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4188667",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.