Infectious Diseases of Michigan PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

5101010780 Issued in MI

Legal business name

INFECTIOUS DISEASES OF MICHIGAN PC

Practice address

4400 Dixie Hwy
Suite a
Waterford, MI 48329-3567

Phone

(248) 332-8404

Fax

(248) 332-0952

NPI assigned

Oct 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Franklin J Rosenblat, DO

Title

Owner/President

Phone

(248) 332-8404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Lauren Marie Gasso, PA-C

  • Medical Physician Assistant
  • Pontiac, MI
  • NPI 1104263052
  NPD (past)
• Herbert Isaac II, MD

  • Family Medicine Physician
  • Pontiac, MI
  • NPI 1841231941
  NPD (past)

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1992957708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483900069",
            "telephone_number": "248-332-8404",
            "fax_number": "248-332-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 DIXIE HWY",
            "address_2": "SUITE A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293567",
            "telephone_number": "248-332-8404",
            "fax_number": "248-332-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASES OF MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "ROSENBLAT",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "248-332-8404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "5101010780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0F36896",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vera Ildefonso
• Impact Physical Therapy, LLC
• Kristin Marie Impastato
• In-Home Family Wellness
• Ashley Inclima
• Jeffrey S Ingber, DDS
• Innovative Lifestyles, Inc
• Inspired Life Counseling & Coaching LLC
• Intentional Acupuncture
• Interface I PC

• Infectious Disease Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.