MEDICAL RESOURCE GROUP (NPI# 1720233968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720233968 |
| Entity Type | Organization |
| Organization Name | MEDICAL RESOURCE GROUP |
| Other Organization Name | MACOMB SLEEP INSTITUTE |
| Practice Address |
17900 23 Mile Rd Suite 406 Macomb MI 48044-1161 |
| Practice Telephone | 5868689075 |
| Practice Fax Number | 5868689077 |
| Mailing Telephone | 5868689075 |
| Mailing Fax Number | 5868689077 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2013-11-08 |
| Authorized Official Name | JENNIFER JOHNSON (DIRECTOR) |
| Authorized Official Telephone | 5862284560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM GROUP NUMBER | 700E012740 | 01 |
| Other Name | Type Code |
|---|---|
| Macomb Sleep Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326257148 | Medical Resource Group | Obstetrics & Gynecology | 15990 W 9 Mile Rd, Southfield, MI 48075-4826 | 2007-05-21 |
| 1184711129 | Medical Resource Group | Internal Medicine | 24371 West Ten Mile Road, Southfield, MI 48034 | 2006-10-10 |
| 1063854941 | Medical Resource Group | Clinic/Center | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2013-07-22 |
| 1073765046 | Medical Resource Group | Clinic/Center | 46591 Romeo Plank Rd, Suite 133, Macomb, MI 48044-5742 | 2008-10-21 |
| 1205085487 | Medical Resource Group | Clinic/Center | 4777 E Outer Dr, Urgent Care Department, Detroit, MI 48234-3241 | 2008-09-12 |
| 1922257401 | Medical Resource Group | Clinic/Center | 7733 E Jefferson Ave, Detroit, MI 48214-3707 | 2008-09-09 |
| 1083862015 | Medical Resource Group | Clinic/Center | 5575 Conner St, Detroit, MI 48213-6400 | 2008-09-03 |
| 1356525562 | Medical Resource Group | Dietitian, Registered | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2007-12-24 |
| 1982883625 | Medical Resource Group | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Ste 2-b, Warren, MI 48088-3730 | 2007-10-30 |
| 1871783530 | Medical Resource Group | Emergency Medicine | 7733 E Jefferson Ave, Detroit, MI 48214-3707 | 2007-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MEDICAL RESOURCE GROUP, LLC | 2310 Cottage St Se, Salem, OR 97302 |
| Street Address |
17900 23 MILE RD SUITE 406 |
| City | MACOMB |
| State | MI |
| Zip Code | 48044-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124006333 | Massimiliano P Vitale | Internal Medicine | 17900 23 Mile Rd, Suite 303, Macomb, MI 48044-1161 | 2006-01-06 |
| 1679106736 | Rose Evelyn Starceski | Physical Therapist | 17900 23 Mile Rd, Macomb, MI 48044-1161 | 2020-02-18 |
| 1912414756 | Stephanie Lim | Nurse Practitioner | 17900 23 Mile Rd, Macomb, MI 48044-1161 | 2018-01-02 |
| 1851846257 | Premier Foot & Ankle Pllc | Podiatrist | 17900 23 Mile Rd, Suite 204, Macomb, MI 48044-1161 | 2016-08-16 |
| 1487067260 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 17900 23 Mile Rd, Suite 401, Macomb, MI 48044-1161 | 2014-06-09 |
| 1295148070 | Seton Health Corporation of Southestern Michigan | Clinic/Center | 17900 23 Mile Rd, Suite 406, Macomb, MI 48044-1161 | 2014-06-09 |
| 1033476767 | Ferah Adil Dalaly | Internal Medicine | 17900 23 Mile Rd, Suite 303, Macomb, MI 48044-1161 | 2012-04-19 |
| 1548579394 | Joseph Martin Samojedny IIi | Pharmacist | 17900 23 Mile Rd, Suite 104, Macomb, MI 48044-1161 | 2010-09-28 |
| 1154558245 | Stefano Matthew Militello | Podiatrist | 17900 23 Mile Rd, Ste 204, Macomb, MI 48044-1161 | 2009-06-16 |
| 1689839490 | Rachel Marie Vandenhemel | Physical Therapy Assistant | 17900 23 Mile Rd, Macomb, MI 48044-1161 | 2008-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925788 | Karen Wetzel | Social Worker | 47567 Dennis Baert Dr, Macomb, MI 48044 | 2018-06-09 |
| 1225541956 | Paul John Andary Jr. | Student in an Organized Health Care Education/Training Program | 48599 Penrose Ln, Macomb, MI 48044 | 2017-11-16 |
| 1467972869 | Theresa Lynn Cipponeri | Social Worker | 17937 Hall Road, Macomb, MI 48044 | 2017-06-27 |
| 1407389570 | Nofal Cholag | Pharmacist | 50340 Nesting Ridge Dr, Macomb, MI 48044 | 2017-04-06 |
| 1043754914 | Magdalena Sosnowski | Registered Nurse | 47362 Whippoorwill Dr, Macomb, MI 48044 | 2016-12-13 |
| 1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
| 1942684741 | Isabella Scofield | Family Medicine | 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 | 2015-07-13 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1699118455 | Kostyantyn Shkilnyy | Massage Therapist | 48254 Ellington Drive, Macomb Township, MI 48044 | 2013-04-11 |
| 1962790097 | Daniel Agrusa | Audiologist | 49306 Flint Ct., Macomb, MI 48044 | 2011-07-11 |
| Find all providers in zip 48044 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396398178 | Sleepathome Diagnostic Testing, LLC | Clinic/Center | 46813 Garfield Rd, Macomb, MI 48044-5225 | 2019-07-19 |
| 1295148070 | Seton Health Corporation of Southestern Michigan | Clinic/Center | 17900 23 Mile Rd, Suite 406, Macomb, MI 48044-1161 | 2014-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126892 | Jv Sleep Diagnostics Plc | Clinic/Center | 15055 22 Mile Rd Ste 4, Shelby Twp, MI 48315-4401 | 2020-08-31 |
| 1891304572 | Somnolink LLC | Clinic/Center | 2820 W Maple Rd Ste 201c, Troy, MI 48084-7064 | 2020-07-28 |
| 1689210700 | Home Sleep Solutions, L.L.C. | Clinic/Center | 7300 Us Highway 131 S, Cadillac, MI 49601-8439 | 2019-11-24 |
| 1679074470 | Lakeland Medical Practices | Clinic/Center | 2500 Niles Rd Ste 9, Saint Joseph, MI 49085-3268 | 2018-02-27 |
| 1982149738 | Michigan Neurodiagnostics, LLC | Clinic/Center | 2723 S State St Ste 101, Ann Arbor, MI 48104-6188 | 2017-01-04 |
| 1952662744 | Michigan Center for Dental Sleep Medicine, Pllc | Clinic/Center | 8504 Canton Center Road, Canton, MI 48187-1310 | 2012-06-07 |
| 1942526355 | Tranquility Sleep Center | Clinic/Center | 7250 Spy Glass Ln, Ypsilanti, MI 48197-6240 | 2010-04-09 |
| 1336463116 | Sleep Right LLC | Clinic/Center | 3908 E Michigan Ave, Au Gres, MI 48703-9459 | 2010-03-23 |
| 1235462193 | Millennium Optimum Care, LLC | Clinic/Center | 603 Lansing Avenue, Jackson, MI 49202-3209 | 2009-09-10 |
| 1174781918 | Wolverine Sleep Pllc | Clinic/Center | 411 E Russell Rd, Suite 1, Tecumseh, MI 49286-7502 | 2008-05-29 |
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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.