MONROE ARTHRITIS CLINIC PLLC (NPI# 1760632962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760632962 |
| Entity Type | Organization |
| Organization Name | MONROE ARTHRITIS CLINIC PLLC |
| Practice Address |
730 N Macomb St Suite 320 Monroe MI 48162-2900 |
| Practice Telephone | 7346825524 |
| Mailing Telephone | 7346825524 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2012-01-05 |
| Authorized Official Name | DR. MAZEN ELYAN (OWNER) |
| Authorized Official Telephone | 7346825524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
4301093250 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | EL7369971 | 01 | |
| OH | 2706316 | 05 | |
| IND NPI | 1104978048 | 01 |
| Street Address |
730 N MACOMB ST SUITE 320 |
| City | MONROE |
| State | MI |
| Zip Code | 48162-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983812 | Ashwin H Shah | Urology | 730 N Macomb St, Ste 319, Monroe, MI 48162 | 2005-06-23 |
| 1083959522 | Promedica Central Physicians LLC | Pediatrics | 730 N Macomb St, Suite 300, Monroe, MI 48162-2900 | 2012-12-11 |
| 1366721011 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 730 N Macomb St, Suite 429, Monroe, MI 48162-2900 | 2011-08-12 |
| 1659676708 | Promedica Monroe Cardiology, Pllc | Internal Medicine | 730 N Macomb St, Suite 429, Monroe, MI 48162-2900 | 2011-01-21 |
| 1104092337 | Michael J Charboneau Jr Do Pllc | Surgery | 730 N Macomb St, Suite 329, Monroe, MI 48162-2900 | 2008-05-07 |
| 1003091141 | Monroe Ear, Nose and Throat Associates, P.C. | Audiologist | 730 N Macomb St, Suite 320, Monroe, MI 48162-2900 | 2008-01-08 |
| 1467641951 | Usha R Tampi | Internal Medicine | 730 N Macomb St, Suite 229, Monroe, MI 48162-2900 | 2007-10-19 |
| 1407995822 | Ashwin H Shah Md PC | Urology | 730 N Macomb St, Suite 319, Monroe, MI 48162-2900 | 2007-02-05 |
| 1194893081 | Cardiology Consultants of Michigan & Ohio, P.C. | Specialist | 730 N Macomb St, Ste #429, Monroe, MI 48162-2900 | 2006-12-01 |
| 1386724987 | Lisa M Vick | Pharmacist | 730 N Macomb St, Monroe, MI 48162-2900 | 2006-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| 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 |
|---|---|---|---|---|
| 1346294188 | Aly Cohen | Internal Medicine | 312 Applegarth Road, Suite 110, Monroe, NJ 08831 | 2006-05-19 |
| 1174941967 | Bhakti Shah | Internal Medicine | 855 State Route 17m, Monroe, NY 10950-1600 | 2014-03-31 |
| 1306191820 | Praneetha Musty | Internal Medicine | 3402 Magnolia Cv, Monroe, LA 71203-2374 | 2012-07-20 |
| 1528331840 | Affinity Health Group, LLC | Internal Medicine | 1825 N 18th St, Suite B, Monroe, LA 71201-4420 | 2012-02-16 |
| 1093809832 | Peter Szachnowski | Internal Medicine | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-10-03 |
| 1184635344 | Jyothi Reddy Mallepalli | Internal Medicine | 3402 Magnolia Cove, Monroe, LA 71203 | 2006-08-11 |
| 1467476465 | James R. Davidson | Internal Medicine | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-07-26 |
| 1831154509 | John Everett Hull | Internal Medicine | 3402 Magnolia Cove, Monroe, LA 71203 | 2006-04-18 |
| 1932189545 | Carolina Bone & Joint Pa | Internal Medicine | 701 E Roosevelt Blvd, Bulding 600, Monroe, NC 28112-5170 | 2006-01-19 |
| 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 |
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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.