NPI 1255378139 · live from the CMS NPI Registry
Ascension Medical Group Michigan
Internal Medicine in Clinton Township, MI. National Provider Identifier 1255378139, active.
NPI record
| NPI | 1255378139 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 15855 19 Mile Rd, Clinton Township, MI 48038 |
| Practice phone | 248-680-8000 |
| Mailing address | Po Box 14129, Belfast, ME 04915 |
| Enumerated | June 1, 2006 |
| Last updated | April 16, 2025 |
| Authorized official | Rachel Perry, Manager |
| Other names | Henry Ford Semi Medical Group |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Family Medicine, Adolescent Medicine | 207QA0000X | — |
| Family Medicine, Adult Medicine | 207QA0505X | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — |
| Internal Medicine primary | 207R00000X | — |
| Internal Medicine, Adolescent Medicine | 207RA0000X | — |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Pediatrics | 208000000X | — |
| Physical Medicine & Rehabilitation | 208100000X | — |
| Physical Medicine & Rehabilitation, Sports Medicine | 2081S0010X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.