Geriatric Associates of Michigan, PLLC
NPI 1881172989ActiveOrganization· Internal Medicine, Geriatric Medicine· Warren, MI
Internal Medicine, Geriatric Medicine in Warren, Michigan, registered in NPPES in July 2018. The authorized official on file is Bruce Johnson, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1881172989 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2018 |
| Last updated in NPPES | Apr 12, 2023 |
| Certified by provider | Apr 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
Other geriatricians in Warren
- 1770747594
- 1760029581