MADISON MEDICAL CENTER PC (NPI# 1538353776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538353776 |
| Entity Type | Organization |
| Organization Name | MADISON MEDICAL CENTER PC |
| Other Organization Name | MADISON HOME CARE |
| Practice Address |
363 W Big Beaver Rd Suite 200 Troy MI 48084-5220 |
| Mailing Address |
30781 Stephenson Hwy Madison Hts MI 48071-1618 |
| Practice Telephone | 5865736400 |
| Mailing Telephone | 2485838922 |
| Mailing Fax Number | 2485838969 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-09-17 |
| Authorized Official Name | DR. RAM GUNABALAN (PRESIDENT) |
| Authorized Official Telephone | 5865736400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | MI | Suppliers |
| Other Name | Type Code |
|---|---|
| Madison Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467620617 | Madison Medical Center PC | Clinical Medical Laboratory | 13409 E 14 Mile Rd, Sterling Hts, MI 48312-6304 | 2008-02-11 |
| 1073732178 | Madison Medical Center PC | General Practice | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2007-04-25 |
| Street Address |
363 W BIG BEAVER RD SUITE 200 |
| City | TROY |
| State | MI |
| Zip Code | 48084-5220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710019955 | Ram Gunabalan | Internal Medicine | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2007-03-12 |
| 1952761033 | Little People Urgent Care Plc | Clinic/Center | 363 W Big Beaver Rd, Suite 126, Troy, MI 48084-5220 | 2016-03-02 |
| 1730582776 | Fastbraces of Troy, LLC | Dentist | 363 W Big Beaver Rd, Ste. 225, Troy, MI 48084-5220 | 2014-10-06 |
| 1790050714 | R & R Transportation LLC | Non-emergency Medical Transport (VAN) | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2012-03-09 |
| 1073827689 | Mi Physicians Pllc | Hospitalist | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2010-08-06 |
| 1467773408 | Geriatric Psychiatric Services | Psychologist | 363 W Big Beaver Rd, Troy, MI 48084-5220 | 2010-06-14 |
| 1801035902 | Geriatric Psychiatric Services Pllc | Psychiatry & Neurology | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2009-02-12 |
| 1528217981 | Mri Consultants LLC | Radiology | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2008-09-10 |
| 1700076726 | Paul Petre Md PC | General Practice | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2007-07-26 |
| 1073732178 | Madison Medical Center PC | General Practice | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362406 | Rapid Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 24450 Evergreen Rd Ste 215b, Southfield, MI 48075-5546 | 2020-07-06 |
| 1699232223 | Indeal LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1192 Bembridge Dr, Rochester Hills, MI 48307-5715 | 2019-03-01 |
| 1790299964 | Pegasus Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3686 Brandi Dr, Sterling Heights, MI 48310-2538 | 2017-11-27 |
| 1255692646 | Mxdiagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 24901 Northwestern Hwy Ste 609, Southfield, MI 48075-2210 | 2012-06-03 |
| 1386972602 | Am Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 17520 W 12 Mile Road, Suite 108, Southfield, MI 48076-1945 | 2009-11-24 |
| 1487982922 | Bobchi Inverciones L.L.C. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3628 Shady Ridge Rd, Jackson, MI 49201-9352 | 2009-11-20 |
| 1912169186 | Medical Diagnostic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4479 Pontiac Lake Rd, Suite 1d, Waterford, MI 48328-2059 | 2008-06-30 |
| 1114118171 | Zoomx Mobile Diagnostic Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 30230 Orchard Lake Rd, Suite 100, Farmington Hills, MI 48334-2267 | 2007-08-06 |
| 1295952745 | Op Therapy, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7760 Kochville Rd, Freeland, MI 48623-8655 | 2007-04-19 |
| 1043344690 | Patrick W Bozarth | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 227 N 9th St, Escanaba, MI 49829-3815 | 2007-03-15 |
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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.