Provider Demographics
NPI:1568584316
Name:ASCENDING HOME PHYSICIANS, P.C.
Entity Type:Organization
Organization Name:ASCENDING HOME PHYSICIANS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:IRVING
Authorized Official - Last Name:BOUIER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-967-3200
Mailing Address - Street 1:22100 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2550
Mailing Address - Country:US
Mailing Address - Phone:248-967-3200
Mailing Address - Fax:248-967-1387
Practice Address - Street 1:22100 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2550
Practice Address - Country:US
Practice Address - Phone:248-967-3200
Practice Address - Fax:248-967-1387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101007369207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI11OF304160OtherBCBS PIN
MI4396374-11Medicaid
MI5101007369OtherLICENSE NUMBER
MI5631212OtherBCBS PROVIDER NUMBER
MIN96250001 / ON96250OtherMEDICARE PROVIDER # / GROUP #
MIAB1321772OtherDEA NUMBER
MIN96250001 / ON96250OtherMEDICARE PROVIDER # / GROUP #
MI11OF304160OtherBCBS PIN