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CCMA-BT PLLC NPI 1730530973


NPI Information

NPI: 1730530973
Provider Name: CCMA-BT PLLC

Former Legal Business Name: CCMABT BEAUMONT

Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
18181 OAKWOOD BLVD
SUITE 208
DEARBORN, MI
ZIP 48124
Phone: (313) 271-5565
Get Directions

CCMA-BT PLLC is a critical care medicine internal medicine in Dearborn, MI. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. CCMA-BT PLLC NPI is 1730530973. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Ccmabt Beaumont.

The provider's business location address is:

18181 OAKWOOD BLVD
SUITE 208
DEARBORN, MI
ZIP 48124-032
Phone: (313) 271-5565
Fax: (313) 271-1053

The provider's authorized official is Paul W Haydon .
The authorized official title is President and has the following contact phone number (313) 271-5565.

The enumeration date for this NPI number is 6/29/2016 and was last updated on 4/24/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineYes

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

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