MEDICAL RESOURCE GROUP (NPI# 1982883625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982883625 |
| Entity Type | Organization |
| Organization Name | MEDICAL RESOURCE GROUP |
| Other Organization Name | COMPLETE ORTHOTICS |
| Practice Address |
13850 E 12 Mile Rd Ste 2-b Warren MI 48088-3730 |
| Mailing Address |
Po Box 67000 Department 184101 Detroit MI 48267-0002 |
| Practice Telephone | 5865524499 |
| Practice Fax Number | 5865524878 |
| Mailing Telephone | 8779969975 |
| Mailing Fax Number | 5862284533 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2009-05-28 |
| 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 | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PIN | 510E027130 | 01 |
| Other Name | Type Code |
|---|---|
| Complete Orthotics | 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 |
| 1720233968 | Medical Resource Group | Clinic/Center | 17900 23 Mile Rd, Suite 406, Macomb, MI 48044-1161 | 2008-12-01 |
| 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 |
| 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 |
13850 E 12 MILE RD STE 2-B |
| City | WARREN |
| State | MI |
| Zip Code | 48088-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730195231 | Daniel Martin Ryan | Physical Medicine & Rehabilitation | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2006-08-01 |
| 1922450428 | Justin David | Physician Assistant | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2016-07-07 |
| 1427456284 | Ann C Walker | Physician Assistant | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2014-12-10 |
| 1174939946 | Team Rehabilitation W2, LLC | Physical Therapist | 13850 E 12 Mile Rd, Ste 2a, Warren, MI 48088-3730 | 2014-07-01 |
| 1629406434 | Lauren Elizabeth Brush | Physician Assistant | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2013-10-15 |
| 1336412923 | Nadine Marie Monteleone | Physical Therapy Assistant | 13850 E 12 Mile Rd, Suite 2a, Warren, MI 48088-3730 | 2012-02-14 |
| 1750608477 | Pros-tech, Inc. | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Suite 2b, Warren, MI 48088-3730 | 2010-04-21 |
| 1962651372 | Lakeesha Crouch | Physical Therapist | 13850 E 12 Mile Rd, # 2a, Warren, MI 48088-3730 | 2008-09-10 |
| 1790950459 | Center for Physical Medicine and Rehabilitiation | Durable Medical Equipment & Medical Supplies | 13850 E 12 Mile Rd, 2-b, Warren, MI 48088-3730 | 2008-04-24 |
| 1053595199 | Center for Physical Medicine and Rehabilitation PC | Durable Medical Equipment & Medical Supplies | 13850 E 12 Mile Rd, Ste 2-b, Warren, MI 48088-3730 | 2007-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1023679099 | Jeff Lip | Counselor | 13253 Cromie Dr., Warren, MI 48088 | 2019-06-21 |
| 1306229877 | Medico Care LLC | Health Maintenance Organization | 31418 Schoenherr Rd #5, Warren, MI 48088 | 2015-07-02 |
| 1053728030 | Jane Kennedy Bays | Counselor | 30521 Schoenherr Rd Ste 200, Warren, MI 48088 | 2014-07-22 |
| 1114295490 | Ma Corazon E Marcaida-gorospe | Physical Therapist | 27472 Schoenherr Road, Warren, MI 48088 | 2011-12-01 |
| 1578869277 | Chiropractic Urgent Care, P.C. | Clinic/Center | 31500 Schoenherr Rd., Warren, MI 48088 | 2011-01-28 |
| 1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
| 1225266075 | Pain Management Center | General Practice | 27472 Schoneherr, #130, Warren, MI 48088 | 2009-06-30 |
| 1447495809 | Denise Stys Marecki | Dietitian, Registered | 30061 Schoenherr Rd., Suite C, Warren, MI 48088 | 2008-12-12 |
| 1568640878 | James H. Aronovitz, Do Pllc | Otolaryngology | 27301 Schoenherr, 105, Warren, MI 48088 | 2008-02-08 |
| Find all providers in zip 48088 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942677273 | Virgin Girl Hair | Prosthetic/Orthotic Supplier | 11885 E 12 Mile Rd Ste 200b, Warren, MI 48093-3474 | 2015-08-21 |
| 1962423061 | Eastwood Orthotics, Inc | Prosthetic/Orthotic Supplier | 3877 Youngstown Rd Se, Warren, OH 44484-2836 | 2006-07-22 |
| 1437176161 | Darling Apothecary, LLC | Prosthetic/Orthotic Supplier | 212-214 Liberty St., Warren, PA 16365-2347 | 2006-07-17 |
| 1376527986 | Orthotics & Prosthetics Rehabilitation Engineering Centre, Inc. | Prosthetic/Orthotic Supplier | 700 Howland Wilson Rd Se, Warren, OH 44484-2512 | 2005-12-06 |
| 1164411278 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093 | 2005-10-20 |
| 1184617094 | First Choice Medical Supply Inc | Prosthetic/Orthotic Supplier | 4451 Mahoning Ave Nw, Warren, OH 44483-1977 | 2005-08-25 |
| 1851877153 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093-2547 | 2018-07-19 |
| 1154829984 | Top Performance Medical Supplies | Prosthetic/Orthotic Supplier | 22815 Hillock Ave, Warren, MI 48089-5418 | 2018-01-26 |
| 1750608477 | Pros-tech, Inc. | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Suite 2b, Warren, MI 48088-3730 | 2010-04-21 |
| 1003993312 | Center for Physical Medicine and Rehabilitation, P.C. | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2006-11-01 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on MEDICAL RESOURCE GROUP.
| 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.