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BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
NPI 1083415640
Internal Medicine in Grosse Pointe, MI

Active since March 20, 2025
17000 KERCHEVAL AVE, GROSSE POINTE, MI 48230(313) 640-2424 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beaumont Medical Group- Specialty Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES (NPI 1083415640), doing business as Corewell Health Medical Group East Specialty Services, is a healthcare organization registered as an internal medicine in Grosse Pointe, Michigan and active in the NPI registry since March 2025. The organization lists Matthew E Cox, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083415640
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
Location Address17000 KERCHEVAL AVEGrosse Pointe, MI 48230-1570
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(313) 640-2424
Organization SubpartNo
Authorized OfficialMatthew E CoxCfo · (616) 295-4264
Enumeration DateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
✔ NPI 1083415640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
17000 KERCHEVAL AVE, Grosse Pointe, MI 48230
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Other Names 1

Doing Business AsCorewell Health Medical Group East Specialty Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHAUNA RYDER DIGGS M.D.,P.C.
Dermatology
17000 KERCHEVAL AVE, SUITE 215
GROSSE POINTE, MI 48230
Wayne County (313) 882-5777
CHRISTOPHER NICHOLAS SCIPIONE M.D.
Surgery
17000 KERCHEVAL AVE, SUITE 205
GROSSE POINTE, MI 48230
Wayne County (313) 640-2424
SHAUNA RYDER DIGGS MD PC
Dermatology
17000 KERCHEVAL AVE, STE 215
GROSSE POINTE PARK, MI 48230
Wayne County (313) 822-5777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaumont Medical Group- Specialty Services's NPI number?

The NPI number for Beaumont Medical Group- Specialty Services is 1083415640. It was assigned to this organization in the NPPES registry on March 20, 2025. The provider is doing business as Corewell Health Medical Group East Specialty Services.

Where is Beaumont Medical Group- Specialty Services located?

Beaumont Medical Group- Specialty Services is located at 17000 Kercheval Ave, Grosse Pointe, MI 48230. The listed phone number is (313) 640-2424.

What is Beaumont Medical Group- Specialty Services's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Beaumont Medical Group- Specialty Services was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.