INTEGRATED MEDICAL PARTNERS PA (NPI# 1962863092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962863092 |
| Entity Type | Organization |
| Organization Name | INTEGRATED MEDICAL PARTNERS PA |
| Practice Address |
21333 Haggerty Rd Suite 150 Novi MI 48375-5510 |
| Practice Telephone | 2486620250 |
| Practice Fax Number | 2486629848 |
| Mailing Telephone | 2486620250 |
| Mailing Fax Number | 2486629848 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-08-04 |
| Authorized Official Name | THOMAS M PROSE (PRESIDENT) |
| Authorized Official Telephone | 2486620250 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | MI | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MI | Allopathic & Osteopathic Physicians |
| Street Address |
21333 HAGGERTY RD SUITE 150 |
| City | NOVI |
| State | MI |
| Zip Code | 48375-5510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811945199 | General Medicine, P.C. | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2006-05-05 |
| 1780128314 | General Medicine of North Carolina PC | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-12-16 |
| 1427410018 | Metro Medical Haggerty Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-23 |
| 1437511201 | Westco Haggerty Medical Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-22 |
| 1154782183 | New Castle Haggerty Medical Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-18 |
| 1477914596 | Vicinity Medical Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-17 |
| 1598126559 | National Medical Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-17 |
| 1699136655 | Sigma Haggerty Medical Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-17 |
| 1922469055 | Borough Medical Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-17 |
| 1285095315 | City Medical Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-17 |
| Find all providers in the same location | ||||
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1093069635 | Cardinal Home Physicians, Pllc | Internal Medicine | 27780 Novi Rd, 102, Novi, MI 48377-3401 | 2012-11-05 |
| 1528387032 | Shabeta Sahore | Internal Medicine | 41100 Fox Run, Novi, MI 48377-4804 | 2010-05-24 |
| 1386852952 | Saigeetha Uthamarajan | Internal Medicine | 41100 Fox Run, Novi, MI 48377-4804 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801371315 | Matrix Medical Pllc | Internal Medicine | 52611 Blueridge Dr, Shelby Twp, MI 48316-2977 | 2018-10-01 |
| 1407364821 | Chesaning Comfort Care | Internal Medicine | 1800 W Brady Rd, Chesaning, MI 48616 | 2018-01-19 |
| 1992252191 | Vitality Home Health Services,inc. | Internal Medicine | 917 W Milham Ave, Portage, MI 49024-1248 | 2016-09-06 |
| 1427419662 | Shoaib A Rasheed | Internal Medicine | 250 Mcdougall St, Detroit, MI 48207-4291 | 2016-03-16 |
| 1710226477 | Nancy Couch | Internal Medicine | 791 Bradburn Ct, Northville, MI 48167-1027 | 2013-01-31 |
| 1639425879 | Anhkiet L Tran | Internal Medicine | 29736 Orion Ct, Farmington Hills, MI 48334-4114 | 2012-07-25 |
| 1700152014 | Nicholas Joseph | Internal Medicine | 24463 W 10 Mile Rd, Pace Southeast Michigan, Southfield, MI 48033-2931 | 2012-03-30 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1699055269 | Mobilized Docs of Michigan LLC | Internal Medicine | 23943 Industrial Park Dr, Farmington Hills, MI 48335-2862 | 2011-08-26 |
| 1780986018 | Spectrum Health Primary Care Partners | Internal Medicine | 727 Apple Ave, Holland, MI 49423-5405 | 2010-11-18 |
| Find all providers with the same taxonomy | ||||
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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.