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ST CLAIR ADULT MEDICINE SPECIALISTS PC
NPI 1508864620
Internal Medicine in Saint Clair Shores, MI

Active since July 12, 2005
23411 JEFFERSON AVE, SUITE 100, SAINT CLAIR SHORES, MI 48080(586) 778-4080(586) 778-6055 Get Directions Write a Review

NPPES record last updated: July 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Clair Adult Medicine Specialists Pc NPPES

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

ST CLAIR ADULT MEDICINE SPECIALISTS PC (NPI 1508864620) is a healthcare organization registered as an internal medicine in Saint Clair Shores, Michigan and active in the NPI registry since July 2005. The organization lists Mary Beth Hardwicke, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1508864620
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST CLAIR ADULT MEDICINE SPECIALISTS PC
Location Address23411 JEFFERSON AVE, SUITE 100Saint Clair Shores, MI 48080-1949
Mailing AddressPo Box 673215Detroit, MI 48267-3215 · (586) 778-4080 · Fax (586) 778-6055
Phone(586) 778-4080
Fax(586) 778-6055
Organization SubpartNo
Authorized OfficialMary Beth HardwickeOwner/physician · (586) 778-4080
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 16, 2010
✔ NPI 1508864620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · MH404922
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.
23411 JEFFERSON AVE, Saint Clair Shores, MI 48080
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Other Identifiers 7

Medicaid4240936MI
Medicare PIN0M49920MI
Medicaid3389123MI
Medicaid4989630MI
Other110E010920MI · Bcbs Bcn
Medicaid3384323MI
Medicaid4613977MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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. MARYBETH HARDWICKE MD
Internal Medicine
23411 JEFFERSON AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 778-4080
TRANSFORMATION CENTER FOR VICTIMS OF ABUSE
Community/Behavioral Health
23411 JEFFERSON AVE, 107
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 585-1789
DR. PARVEEN N SIDDIQUI MD
Internal Medicine
23411 JEFFERSON AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 778-4080

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 St Clair Adult Medicine Specialists PC's NPI number?

The NPI number for St Clair Adult Medicine Specialists PC is 1508864620. It was assigned to this organization in the NPPES registry on July 12, 2005.

Where is St Clair Adult Medicine Specialists PC located?

St Clair Adult Medicine Specialists PC is located at 23411 Jefferson Ave Suite 100, Saint Clair Shores, MI 48080. The listed phone number is (586) 778-4080.

What is St Clair Adult Medicine Specialists PC'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 St Clair Adult Medicine Specialists PC was last updated on July 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.