Provider Demographics
NPI:1386860302
Name:ARTHRITIS ASSOCIATES P.C.
Entity type:Organization
Organization Name:ARTHRITIS ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROLD
Authorized Official - Middle Name:W
Authorized Official - Last Name:SHAGRIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-647-4420
Mailing Address - Street 1:31815 SOUTHFIELD RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-5471
Mailing Address - Country:US
Mailing Address - Phone:248-647-4420
Mailing Address - Fax:248-647-4144
Practice Address - Street 1:31815 SOUTHFIELD RD
Practice Address - Street 2:SUITE 10
Practice Address - City:BEVERLY HILLS
Practice Address - State:MI
Practice Address - Zip Code:48025-5471
Practice Address - Country:US
Practice Address - Phone:248-647-4420
Practice Address - Fax:248-647-4144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301027957207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI110F361690OtherBCBS OF MICHIGAN
MI0F36169Medicare ID - Type UnspecifiedMEDICARE
MI110F361690OtherBCBS OF MICHIGAN