GERIATRIC AND MEDICAL SPECIALISTS OF MICHIGAN P L C NPI 1255429007

NPI Information

NPI: 1255429007
Provider Name: GERIATRIC AND MEDICAL SPECIALISTS OF MICHIGAN P L C
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 23D0957711

Address:
2700 ROBERT T LONGWAY BLVD
STE #A
FLINT, MI
ZIP 48503
Phone: (810) 720-6700
Get Directions

GERIATRIC AND MEDICAL SPECIALISTS OF MICHIGAN P L C is a geriatric medicine internal medicine in Flint, MI. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. GERIATRIC AND MEDICAL SPECIALISTS OF MICHIGAN P L C NPI is 1255429007. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2700 ROBERT T LONGWAY BLVD
STE #A
FLINT, MI
ZIP 48503-190
Phone: (810) 720-6700
Fax: (810) 743-1610

The provider's authorized official is Randolph E. Schumacher .
The authorized official title is President and has the following contact phone number (810) 235-2599.

The CLIA number assigned to this NPI record is 23D0957711 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 5/7/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical			No
2	363LG0600X	Nurse Practitioner	Gerontology			No
3	207R00000X	Internal Medicine		4301405199	MICHIGAN	No
4	104100000X	Social Worker		6801035828	MICHIGAN	No
5	363L00000X	Nurse Practitioner				No
6	207RG0300X	Internal Medicine	Geriatric Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0P45610	MEDICARE PIN	MICHIGAN
2	0P23940	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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