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EASTSIDE INTERNAL MEDICINE PC
NPI 1831201821
Internal Medicine in Saint Clair Shores, MI

Active since August 31, 2006
28315 HARPER AVE, SAINT CLAIR SHORES, MI 48081(586) 552-1710(586) 552-1715 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastside Internal Medicine Pc NPPES

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

EASTSIDE INTERNAL MEDICINE PC (NPI 1831201821) is a healthcare organization registered as an internal medicine in Saint Clair Shores, Michigan and active in the NPI registry since August 2006. The organization lists Lori Eckenwiler, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1831201821
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEASTSIDE INTERNAL MEDICINE PC
Location Address28315 HARPER AVESaint Clair Shores, MI 48081-1687
Mailing Address28315 Harper AveSaint Clair Shores, MI 48081-1687 · (586) 552-1710 · Fax (586) 552-1715
Phone(586) 552-1710
Fax(586) 552-1715
Organization SubpartNo
Authorized OfficialLori EckenwilerOffice Manager · (586) 552-1710
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 21, 2011
✔ NPI 1831201821 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 · 4301049083
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.
28315 HARPER AVE, Saint Clair Shores, MI 48081
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Other Identifiers 1

Medicare PIN0N51910MI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 23D1002150

Eastside Internal Medicine, PC · St Clair Shores, MI
Expired · Jul 29, 2026
CLIA Number23D1002150
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorEric N. Neisch
Laboratory Phone(586) 552-1710
Laboratory LocationEastside Internal Medicine, PC28315 Harper, St Clair Shores, MI 48081
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 3

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

WENDY SUE ROBINSON NP
Nurse Practitioner (Family)
28315 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 552-1710
EIM CHOICE CARE PC
Internal Medicine
28315 HARPER AVE
ST CLAIR SHORES, MI 48081
Macomb County (586) 552-1710
MRS. KIMBERLY CANNON AGPCNP-BC
Nurse Practitioner
28315 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 552-1710

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 Eastside Internal Medicine PC's NPI number?

The NPI number for Eastside Internal Medicine PC is 1831201821. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Eastside Internal Medicine PC located?

Eastside Internal Medicine PC is located at 28315 Harper Ave, Saint Clair Shores, MI 48081. The listed phone number is (586) 552-1710.

What is Eastside Internal Medicine PC's specialty?

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

What insurance does Eastside Internal Medicine PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Eastside Internal Medicine PC 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 Eastside Internal Medicine PC was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.