STONY CREEK INTERNAL MEDICINE PLC (NPI# 1093835647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093835647 |
| Entity Type | Organization |
| Organization Name | STONY CREEK INTERNAL MEDICINE PLC |
| Practice Address |
52915 Mound Road Shelby Township MI 48316-3266 |
| Practice Telephone | 5869922400 |
| Mailing Telephone | 5869922400 |
| Mailing Fax Number | 5869928206 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-12-19 |
| Authorized Official Name | LISA HALL (OWNER) |
| Authorized Official Telephone | 5869922400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
52915 MOUND ROAD |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48316-3266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992864417 | Lisa Marie Hall | Internal Medicine | 52915 Mound Road, Shelby Township, MI 48316-3266 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183552 | Jeffrey T Baker Dds PC | Dentist | 8152 25 Mile Rd Ste C, Shelby Twp, MI 48316 | 2020-08-05 |
| 1811459993 | Aspire Psychological Associates LLC | Psychologist | 53200 Van Dyke Ave, Suite 100, Shelby Twp, MI 48316 | 2019-04-05 |
| 1619445798 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 7542 26 Mile Road, Shelby, MI 48316 | 2018-11-07 |
| 1962929117 | Rosni Nair | Nurse Practitioner | 51562 Merry Lane, Shelby Twp, MI 48316 | 2017-08-28 |
| 1548797251 | Susan Dipple | Occupational Therapist | 2041 Crystal Lake Ct S Apt T-376, Shelby Township, MI 48316 | 2017-05-12 |
| 1396295101 | Nikkolas Lawrence Chronis | Pharmacist | 7609 Hartwick, Shelby Twp, MI 48316 | 2016-10-05 |
| 1871976373 | Michelle Lynn Maltese | Dentist | 4147 24 Mile Rd, Shelby Twp, MI 48316 | 2015-07-01 |
| 1750768222 | Michael Justin Ramar | Chiropractor | 2061 25 Mile Rd, Shelby Township, MI 48316 | 2015-05-04 |
| 1215362454 | Aa Transportation Group, LLC | Non-emergency Medical Transport (VAN) | 56516 Ashbrooke Dr W, Shelby Twp, MI 48316 | 2013-09-06 |
| 1932400348 | Rea Counseling Services, PC | Community/Behavioral Health | 51539 Van Dyke Ave, Shelby Twp, MI 48316 | 2010-11-16 |
| Find all providers in zip 48316 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497116230 | Ausi Medical Center PC | Internal Medicine | 54251 Carrington Dr, Shelby Township, MI 48316-1367 | 2016-03-07 |
| 1992864417 | Lisa Marie Hall | Internal Medicine | 52915 Mound Road, Shelby Township, MI 48316-3266 | 2006-12-08 |
| 1023069770 | Malaz Alatassi | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2006-05-15 |
| 1427051127 | Grant Adam Lange | Internal Medicine | 50505 Schoenherr Rd, Suite 300, Shelby Township, MI 48315-3140 | 2005-05-27 |
| 1457883985 | Matthew Richard Garrity | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2017-04-03 |
| 1801246012 | Zahraa Karoofa | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2016-06-18 |
| 1740664499 | Brian Tyson | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2015-07-13 |
| 1457733297 | Waseem Obeid | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2015-06-28 |
| 1821484122 | Raya Kutaimy | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2015-04-13 |
| 1396165080 | Varun Sai Yelamanchili | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2014-04-21 |
| Find all providers in SHELBY TOWNSHIP | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48316 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.