MACOMB PRIMARY CARE, P.C. (NPI# 1700267267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700267267 |
| Entity Type | Organization |
| Organization Name | MACOMB PRIMARY CARE, P.C. |
| Practice Address |
39915 Grand River Avenue Suite # 750 Novi MI 48375-2153 |
| Mailing Address |
43393 Schoenherr Road Sterling Heights MI 48313-1959 |
| Practice Telephone | 2484767775 |
| Practice Fax Number | 2489874972 |
| Mailing Telephone | 5863230301 |
| Mailing Fax Number | 5863230341 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |
| Authorized Official Name | CHADI H MANSOUR (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5863230301 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MI | Suppliers |
| Street Address |
39915 GRAND RIVER AVENUE SUITE # 750 |
| City | NOVI |
| State | MI |
| Zip Code | 48375-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| Find all providers in zip 48375 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1073157004 | Befitting You, LLC | Durable Medical Equipment & Medical Supplies | 26850 Providence Pkwy Ste 110, Novi, MI 48374-1214 | 2019-11-02 |
| 1801349709 | Soleo Health Inc | Durable Medical Equipment & Medical Supplies | 26800 Meadowbrook Road, Suite 119, Novi, MI 48377-3540 | 2016-07-27 |
| 1952764029 | First Class Home Care Inc | Durable Medical Equipment & Medical Supplies | 43050 12 Oaks Crescent Dr, 2022, Novi, MI 48377-3433 | 2016-04-05 |
| 1689080319 | Soleo Health Inc. | Durable Medical Equipment & Medical Supplies | 26800 Meadowbrook Rd, Suite 119, Novi, MI 48377-3540 | 2014-07-02 |
| 1912263062 | American Mattress Gallery | Durable Medical Equipment & Medical Supplies | 43235 W 12 Mile Rd, Novi, MI 48377-3016 | 2012-04-03 |
| 1679861629 | Minimed Distribution Corp | Durable Medical Equipment & Medical Supplies | 39555 Orchard Hill Pl Ste 500, Attn: Angela Ward Jones, Novi, MI 48375-5526 | 2011-07-12 |
| 1669618039 | Joerns LLC | Durable Medical Equipment & Medical Supplies | 40900 Grand River Ave, Units 4008,4010,4011, Novi, MI 48375-2816 | 2009-01-06 |
| 1043474075 | Victor Geralt | Durable Medical Equipment & Medical Supplies | 28455 Haggerty Rd Ste 201, Novi, MI 48377-2982 | 2008-07-18 |
| 1801063847 | Sav-on Home Health Care Supply Inc. | Durable Medical Equipment & Medical Supplies | 24100 Meadowbrook Rd, Suite A, Novi, MI 48375-3457 | 2008-05-09 |
| Find all providers in NOVI | ||||
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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.