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PORT HURON INTERNAL MEDICINE ASSOCIATES NPI 1528252251


NPI Information

NPI: 1528252251
Provider Name: PORT HURON INTERNAL MEDICINE ASSOCIATES
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 23D0364132

Address:
2540 16TH ST
PORT HURON, MI
ZIP 48060
Phone: (810) 987-1000
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PORT HURON INTERNAL MEDICINE ASSOCIATES is a geriatric medicine internal medicine in Port Huron, MI. The provider is 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. PORT HURON INTERNAL MEDICINE ASSOCIATES NPI is 1528252251. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2540 16TH ST
PORT HURON, MI
ZIP 48060-405
Phone: (810) 987-1000
Fax: (810) 982-1810

The provider's authorized official is John I Jarad .
The authorized official title is President and has the following contact phone number (810) 987-1000.

The CLIA number assigned to this NPI record is 23D0364132 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 2/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine4301076169MICHIGANNo
2207Q00000XFamily Medicine4301066771MICHIGANNo
3207R00000XInternal Medicine4301095172MICHIGANNo
4207RG0300XInternal MedicineGeriatric Medicine4301061093MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10G41221OTHERMICHIGANBCBSM
2DG3605OTHERMICHIGANRAILROAD MEDICARE PIN
334108OTHERMICHIGANHEALTH PLAN OF MICHIGAN
40P22570MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.