| Im Hospitalists PLLC | |
|
1920 Livernois Rd Troy MI 48083-1732 | |
| (586) 431-0222 | |
| Not Available |
| Full Name | Im Hospitalists PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1920 Livernois Rd, Troy, Michigan |
| Authorized Official Name and Position | Michael C Davis (OWNER/PRESIDENT) |
| Authorized Official Contact | 5864310222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Im Hospitalists PLLC 1920 Livernois Rd Troy MI 48083-1732 Ph: (586) 431-0222 | Im Hospitalists PLLC 1920 Livernois Rd Troy MI 48083-1732 Ph: (586) 431-0222 |
| NPI Number | 1194001222 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Medicare PECOS PAC ID | 2567621477 |
|---|---|
| Medicare Enrollment ID | O20120313000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194001222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Michael C Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811990518 PECOS PAC ID: 4789691577 Enrollment ID: I20060320000652 |
| Provider Name | Gina C Valitutti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437367067 PECOS PAC ID: 9739247925 Enrollment ID: I20081016000199 |
| Provider Name | Jennifer Bethea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427343789 PECOS PAC ID: 3072945070 Enrollment ID: I20191113000811 |
| Provider Name | Johnlette S Harlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427683283 PECOS PAC ID: 7911336334 Enrollment ID: I20200407001277 |
| Provider Name | Kimberly P Haggerty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841884384 PECOS PAC ID: 3870909617 Enrollment ID: I20210303000716 |
| Provider Name | Cyrus Garmo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669030748 PECOS PAC ID: 9830423987 Enrollment ID: I20211115001136 |
| Provider Name | Rimma Culliton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912677048 PECOS PAC ID: 8325435480 Enrollment ID: I20220420001980 |
| Provider Name | Madeline S Odom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992583793 PECOS PAC ID: 2062868144 Enrollment ID: I20231025002953 |
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