SILVER PINE MEDICAL GROUP PLC NPI 1639105695

NPI Information

  • NPI: 1639105695
  • Provider Name: SILVER PINE MEDICAL GROUP PLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 23D2227618
  • Address: 43455 SCHOENHERR
    SUITE 2
    STERLING HEIGHTS, MI
    ZIP 48313
  • Phone: (586) 726-4823

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NPI Details

SILVER PINE MEDICAL GROUP PLC is a family medicine in Sterling Heights, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SILVER PINE MEDICAL GROUP PLC NPI is 1639105695. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

43455 SCHOENHERR
SUITE 2
STERLING HEIGHTS, MI
ZIP 48313
Phone: (586) 726-4823
Fax: (586) 726-8365

The provider's authorized official is Theodore L Tangalos .
The authorized official title is President and has the following contact phone number (586) 726-4823.

The CLIA number assigned to this NPI record is 23D2227618 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 12/3/2008.

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
1207Q00000XFamily MedicineYes

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
10N41830MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE
2=========OTHERMICHIGANTAX ID NUMBER

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: 11/21/2025

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