Stony Creek Internal Medicine PLC
NPI 1093835647ActiveOrganization· Internal Medicine· Shelby Township, MI
Internal Medicine in Shelby Township, Michigan, registered in NPPES in March 2007. The authorized official on file is Lisa Hall, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093835647 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2007 |
| Last updated in NPPES | Dec 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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