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MAIN STREET PHYSICIANS P.C.
NPI 1811171234
Internal Medicine in Woodhaven, MI

Active since December 20, 2007CLIA 23D2060228 · Waiver
25000 HALL RD, SUITE 1, WOODHAVEN, MI 48183(734) 676-3373(734) 675-1678 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Main Street Physicians P.c. NPPES

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

MAIN STREET PHYSICIANS P.C. (NPI 1811171234) is a healthcare organization registered as an internal medicine in Woodhaven, Michigan and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Sara M Reiman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811171234
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCHRISTOPHER R DEANGELIS D.O
Location Address25000 HALL RD, SUITE 1Woodhaven, MI 48183-5112
Mailing Address25000 Hall Rd, Suite 1Woodhaven, MI 48183-5112 · (734) 676-3373 · Fax (734) 675-1678
Phone(734) 676-3373
Fax(734) 675-1678
Organization SubpartNo
Authorized OfficialSara M ReimanOffice Manager · (734) 676-3373
Enumeration DateDecember 20, 2007
Last NPPES UpdateJanuary 28, 2019
✔ NPI 1811171234 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 · CD013396
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.
25000 HALL RD, Woodhaven, MI 48183
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Other Names 1

Doing Business AsMain Street Physicians P.c.

Other Identifiers 6

Other1158206834MI · Bcbs
Other5390707MI · Aetna
Other110218318MI · Railroad Medicare
Other5820683MI · Bcn
OtherC8111MI · M Care
OtherP127746MI · Care Choices

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

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 23D2060228

Main Street Physicians PC · Woodhaven, MI
Active · expires Jun 9, 2027
CLIA Number23D2060228
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2025
Certificate Expiration DateJune 9, 2027
Laboratory DirectorChristopher R. De Angelis
Laboratory Phone(734) 676-3373
Laboratory LocationMain Street Physicians PC25000 Hall Road, Suite One, Woodhaven, MI 48183
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

FRANK HARDEEP SINGH D.O.
Internal Medicine (Gastroenterology)
25000 HALL RD, SUITE 200
WOODHAVEN, MI 48183
Wayne County (734) 692-6566
MS. MARIE-SOLEIL CHANTAL SAWKA FNP
Nurse Practitioner (Family)
25000 HALL RD
WOODHAVEN, MI 48183
Wayne County (734) 675-1280
MR. CHRISTOPHER LAURA M.PT
Physical Therapist
25000 HALL RD
WOODHAVEN, MI 48183
Wayne County (734) 493-1665
MARK W SAWKA MD
Family Medicine
25000 HALL RD, STE 1
WOODHAVEN, MI 48183
Wayne County (734) 675-1280
CHRISTOPHER R DEANGELIS DO
Internal Medicine
25000 HALL RD, STE 1
TRENTON, MI 48183
Wayne County (734) 676-3373
DOWNRIVER GASTROENTEROLOGY, P.C.
Internal Medicine (Gastroenterology)
25000 HALL RD, STE 200
WOODHAVEN, MI 48183
Wayne County (734) 692-6566

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 Christopher R Deangelis D.O's NPI number?

The NPI number for Christopher R Deangelis D.O is 1811171234. It was assigned to this organization in the NPPES registry on December 20, 2007. The provider is doing business as Main Street Physicians P.C..

Where is Christopher R Deangelis D.O located?

Christopher R Deangelis D.O is located at 25000 Hall Rd Suite 1, Woodhaven, MI 48183. The listed phone number is (734) 676-3373.

What is Christopher R Deangelis D.O's specialty?

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

Does Christopher R Deangelis D.O hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2060228) is associated with this NPI, valid through June 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Christopher R Deangelis D.O was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.