MEDICARE: MATHEWS MEDICAL CENTER PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MY075033	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	P00296825	OTHER	MI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0F38151	OTHER	MI	BCBS
2	148498	OTHER	MA	GREAT LAKES HEALTH PLAN
3	57510	OTHER	MI	TOTAL HEALTH PLAN
4	13069	OTHER	MI	CAPE HEALTH PLAN
5	H88115	OTHER	MI	HAP
6	136976	OTHER	MI	CARE CHOICES
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588749709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATHEWS MEDICAL CENTER PLLC

Provider Business Mailing Address
First Line	:	2221 LIVERNOIS RD
Second Line	:	SUITE 100
City	:	TROY
State	:	MI
Zip	:	48083-1603
Country	:	US
Telephone Number	:	248-250-9474
Fax Number	:	248-250-9483

Provider Business Practice Location Address
First Line	:	2221 LIVERNOIS RD
Second Line	:	SUITE 100
City	:	TROY
State	:	MI
Zip	:	48083-1603
Country	:	US
Telephone Number	:	248-250-9474
Fax Number	:	248-250-9483

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MAZIN YONAN
Credential	:	MD
Telephone Number	:	248-250-9497

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	08/09/2010

Similar Medicare Providers

1700385531 — KATHERINE WELLS DPT
Practice Location Address:

2221 LIVERNOIS RD STE 103
TROY, MI
48083-1603

Practice Phone: 248-988-4410
Practice Fax: 248-988-4411

1801888904 — MAZIN PUTRUS YONAN MD
Practice Location Address:

2221 LIVERNOIS RD , 100
TROY, MI
48083-1603

Practice Phone: 248-250-9474
Practice Fax: 248-250-9483

1558461392 — ANVITA BITTA SAINI M.D.
Practice Location Address:

2221 LIVERNOIS RD , SUITE 100
TROY, MI
48083-1603

Practice Phone: 248-250-9482
Practice Fax: 248-250-9483

1225137334 — SAAD NAAMAN MD
Practice Location Address:

2221 LIVERNOIS RD STE 100
TROY, MI
48083-1603

Practice Phone: 586-558-7700
Practice Fax: 586-558-9915

1245377563 — BETH A BELESKY P.A.
Practice Location Address:

2221 LIVERNOIS RD , SUITE 101
TROY, MI
48083-1603

Practice Phone: 248-362-3500
Practice Fax: 248-362-1941

1497874432 — MRS. CLARE JANE CLOR P.T.
Practice Location Address:

2221 LIVERNOIS RD STE 103
TROY, MI
48083-1603

Practice Phone: 248-988-4410
Practice Fax: 248-988-4411

Directions to “MATHEWS MEDICAL CENTER PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.