STONY CREEK INTERNAL MEDICINE PLC
NPI 1093835647
Internal Medicine in Shelby Township, MI

Active since March 29, 2007CLIA 23D1017868 · Waiver
52915 MOUND ROAD, SHELBY TOWNSHIP, MI 48316(586) 992-2400 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stony Creek Internal Medicine Plc NPPES

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

STONY CREEK INTERNAL MEDICINE PLC (NPI 1093835647) is a healthcare organization registered as an internal medicine in Shelby Township, Michigan and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Lisa Hall, Owner, as its authorized official.

NPPES Registry Identity

NPI1093835647
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTONY CREEK INTERNAL MEDICINE PLC
Location Address52915 MOUND ROADShelby Township, MI 48316-3266
Mailing Address52915 Mound RoadShelby Township, MI 48316-3266 · (586) 992-2400 · Fax (586) 992-8206
Organization SubpartNo
Authorized OfficialLisa HallOwner · (586) 992-2400
Enumeration DateMarch 29, 2007
Last NPPES UpdateDecember 19, 2012
NPI 1093835647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedFamily MedicineTaxonomy 207Q00000X
52915 MOUND ROAD, Shelby Township, MI 48316

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1017868

Stony Creek Internal Medicine · Shelby Township, MI
Active · expires Oct 6, 2027
CLIA Number23D1017868
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorLisa M. Hall
Laboratory Phone(586) 992-2400
Laboratory LocationStony Creek Internal Medicine52930 Mound Road, Shelby Township, MI 48316
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Integrative Medicine
52915 MOUND ROAD
SHELBY TOWNSHIP, MI 48316
Internal Medicine
52915 MOUND ROAD
SHELBY TOWNSHIP, MI 48316

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 Stony Creek Internal Medicine Plc's NPI number?

The NPI number for Stony Creek Internal Medicine Plc is 1093835647. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Stony Creek Internal Medicine Plc located?

Stony Creek Internal Medicine Plc is located at 52915 Mound Road, Shelby Township, MI 48316. The listed phone number is (586) 992-2400.

What is Stony Creek Internal Medicine Plc's specialty?

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

Does Stony Creek Internal Medicine Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1017868) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stony Creek Internal Medicine Plc accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Stony Creek Internal Medicine Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stony Creek Internal Medicine Plc was last updated on December 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.