Provider Demographics
NPI:1609818947
Name:JAMES G ARMSTRONG DO PC
Entity type:Organization
Organization Name:JAMES G ARMSTRONG DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-427-6590
Mailing Address - Street 1:5755 INKSTER RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-2960
Mailing Address - Country:US
Mailing Address - Phone:734-427-6590
Mailing Address - Fax:734-427-6846
Practice Address - Street 1:5755 INKSTER RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-2960
Practice Address - Country:US
Practice Address - Phone:734-427-6590
Practice Address - Fax:734-427-6846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101007534208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI330H213130OtherBCBS BCN
MI1814766Medicaid
MIDQ3258OtherRAILROAD MEDICARE
MI1814766Medicaid
MI0P19330Medicare PIN