MMG 1PC (NPI# 1629184049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629184049 |
| Entity Type | Organization |
| Organization Name | MMG 1PC |
| Other Organization Name | ASSOCIATED RHEUMATOLOGY CONSULTANTS |
| Practice Address |
28625 Northwestern Hwy Suite 223 Southfield MI 48034-1828 |
| Mailing Address |
29992 Northwestern Hwy Ste C Farmington Hills MI 48334-3292 |
| Practice Telephone | 2483503190 |
| Practice Fax Number | 2483503245 |
| Mailing Telephone | 2488511430 |
| Mailing Fax Number | 2488515182 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | DR. GEOFFREY A. TRIVAX (PRESIDENT) |
| Authorized Official Telephone | 2483549666 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE SHIELD | 700F322420 | 01 |
| Other Name | Type Code |
|---|---|
| ASSOCIATED RHEUMATOLOGY CONSULTANTS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215040506 | Mmg 1pc | Internal Medicine | 28625 Northwestern Hwy Ste 100, Southfield, MI 48034-8351 | 2006-08-17 |
| 1285873430 | Mmg 1pc | Physical Medicine & Rehabilitation | 28625 Northwestern Hwy, Suite 150, Southfield, MI 48034-1828 | 2009-02-11 |
| 1184878001 | Mmg 1pc | Psychiatry & Neurology | 26400 W 12 Mile Rd, Suite 170, Southfield, MI 48034-1700 | 2008-11-05 |
| 1215103940 | Mmg 1pc | General Practice | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2008-05-02 |
| 1972700607 | Mmg 1pc | Physical Therapist | 26400 W 12 Mile Rd, Suite 25, Southfield, MI 48034-1700 | 2007-06-27 |
| 1881714723 | Mmg 1pc | Internal Medicine | 28000 Joy Rd, Livonia, MI 48150-4137 | 2007-03-31 |
| 1679586192 | Mmg 1pc | Internal Medicine | 29201 Telegraph Rd, Suite 404, Southfield, MI 48034-1331 | 2006-08-14 |
| 1023037025 | Mmg 1pc | Nurse Practitioner | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2006-07-19 |
| 1205855186 | Mmg 1pc | Internal Medicine | 7419 Middlebelt Rd, Suite 4, West Bloomfield, MI 48322-4182 | 2006-07-19 |
| 1073548442 | Mmg 1pc | Internal Medicine | 6900 Orchard Lake Rd, Suite 303, West Bloomfield, MI 48322-3405 | 2006-07-12 |
| Street Address |
28625 NORTHWESTERN HWY SUITE 223 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477543874 | Sidney B Beck | Otolaryngology | 28625 Northwestern Hwy, Ste 1507, Southfield, MI 48034-1828 | 2005-10-26 |
| 1720369358 | Michigan Healthcare Professionals | Clinic/Center | 28625 Northwestern Hwy, Suite C, Southfield, MI 48034-1828 | 2011-09-09 |
| 1356661722 | Christy Stockton Parent | Physician Assistant | 28625 Northwestern Hwy, Southfield, MI 48034-1828 | 2010-06-08 |
| 1285873430 | Mmg 1pc | Physical Medicine & Rehabilitation | 28625 Northwestern Hwy, Suite 150, Southfield, MI 48034-1828 | 2009-02-11 |
| 1033367362 | Herman Kado | Internal Medicine | 28625 Northwestern Hwy, Suite 150, Southfield, MI 48034-1828 | 2008-08-28 |
| 1215103940 | Mmg 1pc | General Practice | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2008-05-02 |
| 1255506556 | Mi Healthcare Professionals PC | Clinic/Center | 28625 Northwestern Hwy, Suite 100, Southfield, MI 48034-1828 | 2008-04-28 |
| 1972672103 | Arthur A Efros | Internal Medicine | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2006-11-06 |
| 1174530398 | Nancy B. Berman | Nurse Practitioner | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2006-08-01 |
| 1023037025 | Mmg 1pc | Nurse Practitioner | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1780850560 | Sarmad Al-mansour, Md, PC | Internal Medicine | 22972 Lahser Rd, Southfield, MI 48033 | 2008-05-01 |
| 1750555827 | Bruce L. Kaplan Do, PC | Internal Medicine | 22250 Providence Drive, Suite #200, Southfield, MI 48075-6210 | 2008-04-18 |
| 1609944396 | Steven A Portney | Internal Medicine | 22250 Providence Dr, Suite #200, Southfield, MI 48075-6210 | 2006-12-01 |
| 1114095817 | Steven A Portney, Md, PC | Internal Medicine | 22250 Providence Dr, Suite #200, Southfield, MI 48075-6210 | 2006-12-01 |
| 1053356246 | Bruce Kaplan | Internal Medicine | 22250 Providence Dr, #200, Southfield, MI 48075 | 2006-06-19 |
| 1740229673 | Sarmad Almansour | Internal Medicine | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2006-06-06 |
| 1922083591 | Jerome Rosenthal | Internal Medicine | 28625 Northwestern Hwy, Suite 223, Southfield, MI 48034-1828 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655469 | American Arthritis & Rheumatology Associates Mi Pllc | Internal Medicine | 1669 Hamilton Rd Ste 200, Okemos, MI 48864-1961 | 2018-07-03 |
| 1033413661 | Rheumatology PC | Internal Medicine | 360 E Chicago St Ste 111, Coldwater, MI 49036-2086 | 2010-12-22 |
| 1295036507 | Arden Gene Alexander | Internal Medicine | 79 Watershore Dr, Muskegon, MI 49444-7746 | 2010-11-03 |
| 1467763201 | Nina Ramessar | Internal Medicine | 3950 Hollywood Rd Ste 288, Saint Joseph, MI 49085-9159 | 2010-06-26 |
| 1407084064 | Davi Ponte De Sa Leitao | Internal Medicine | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2009-06-22 |
| 1275790156 | V Geravipoolvorn Md PC | Internal Medicine | 28345 Utica Rd, Roseville, MI 48066-2566 | 2008-05-19 |
| 1285800268 | Dianne Kay Trudell, Md | Internal Medicine | 5085 W Bristol Rd, Flint, MI 48507-2922 | 2008-04-30 |
| 1295901288 | Jolanta Sobotka-czarnecki Md Pllc | Internal Medicine | G-5085 West Bristol Rd., Flint, MI 48507-2922 | 2008-04-30 |
| 1144411299 | David K. Vallance, M.d., P.C. | Internal Medicine | 3055 Plymouth Rd Ste 102, Ann Arbor, MI 48105-3208 | 2007-08-05 |
| 1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
Please comment or provide details below to improve the information on MMG 1PC.
| 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.