CENTER FOR EAR,NOSE AND THROAT PC (NPI# 1083659932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083659932 |
| Entity Type | Organization |
| Organization Name | CENTER FOR EAR,NOSE AND THROAT PC |
| Practice Address |
2300 Haggerty Road Suite 2130 West Bloomfield MI 48323 |
| Mailing Address |
2300 Haggerty Rd Ste 2130 West Bloomfield MI 48323-2191 |
| Practice Telephone | 2486681104 |
| Practice Fax Number | 2486681096 |
| Mailing Telephone | 2486681104 |
| Mailing Fax Number | 2486681096 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | STEVEN JOE KIN (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2486681104 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
5101010029 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | GREAT WEST | 1009579 | 01 |
| MI | GREAT LAKES | 101058 | 01 |
| MI | AETNA | 4233036 | 01 |
| MI | PHCS | 82908 | 01 |
| MI | BCN | 040F338670 | 01 |
| MI | BCBS GROUP | 040F338670 | 01 |
| MI | MCARE | B9900 | 01 |
| MI | DMC | 12043 | 01 |
| MI | RAILROAD MEDICARE | 040015528 | 01 |
| MI | CARE CHOICES | 107796 | 01 |
| MI | HAP | F31235 | 01 |
| MI | BCBC BCN | 0456336254 | 01 |
| MI | CAPE | 2886 | 01 |
| MI | 4100372 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2300 Haggerty Road, Suite 2130, West Bloomfield, MI 48323 | 2486681104 | 2486681096 |
| Street Address |
2300 HAGGERTY ROAD SUITE 2130 |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366495434 | Nelson M Hersh | Dentist | 2300 Haggerty Road, Suite 1160, West Bloomfield, MI 48323 | 2006-05-18 |
| 1013342500 | Katharine Elizabeth Graham | Physical Therapist | 2300 Haggerty Road, Suite 2020, West Bloomfield, MI 48323 | 2013-09-04 |
| 1982763264 | Joel Leslie Felsenfeld | Dentist | 2300 Haggerty Road, Suite 1170, West Bloomfield, MI 48323 | 2006-12-06 |
| 1801978309 | Michigan Institute of Urology PC | Urology | 2300 Haggerty Road, Suite 2000, West Bloomfield, MI 48323-2102 | 2006-10-20 |
| 1184660490 | Lawrence M Dell | Internal Medicine | 2300 Haggerty Road, Suite 1010, West Bloomfield, MI 48323 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235503301 | James K. Uhes | Occupational Therapist | 2300 Haggerty Rd. Ste 2190, Lakes Medical Center, West Bloomfield, MI 48323 | 2015-11-30 |
| 1700253283 | Max Elder | Specialist/Technologist | 2387 Scotch Pine St, West Bloomfield, MI 48323 | 2015-08-31 |
| 1952792400 | Michael Cataldo | Technician, Other | 6626 Torybrooke Ct, West Bloomfield, MI 48323 | 2015-02-05 |
| 1982944666 | Steven Nathan Rives | Internal Medicine | 2300 Haggerty Rd Ste 2060, West Bloomfield, MI 48323 | 2013-02-18 |
| 1275871832 | Detroit Medical Center Sinai Grace Hospital | General Acute Care Hospital | 3495 Pine Estates Drive, West Bloomfield, MI 48323 | 2013-01-16 |
| 1295090793 | Advance Health Care System, LLC | Massage Therapist | 4267 Foxpoint, West Bloomfield, MI 48323 | 2012-07-10 |
| 1841566700 | Eduardo Rivera | Pathology | 2920 Bloomfield Shore Drive, West Bloomfield, MI 48323 | 2012-03-26 |
| 1952611782 | Debra Mary Gregory PC LLC | Social Worker | 7130 Walnut Lake Road, West Bloomfield, MI 48323 | 2010-10-14 |
| 1033362793 | Alvin Yousif Daboul | Dentist | 2332 Hiller Road, West Bloomfield, MI 48323 | 2008-10-28 |
| 1386846574 | Jerald B Maltzman | Radiology | 4744 Wendrick Dr, W. Bloomfield, MI 48323 | 2007-06-01 |
| Find all providers in zip 48323 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629289947 | Andrew M Compton | Otolaryngology | 6900 Orchard Lake Rd, Suite 314, West Bloomfield, MI 48322-3405 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467853515 | Michigan Ear, Nose, Throat & Allergy Specialist | Otolaryngology | 1445 Sheldon Rd Ste 300, Grand Haven, MI 49417-2479 | 2014-09-09 |
| 1790004166 | Veritas Group LLC | Otolaryngology | 300 S State St Ste 1, Zeeland, MI 49464-1677 | 2010-05-25 |
| 1144354820 | Shoreline Ent Plc | Otolaryngology | 268 Seminole Rd, Muskegon, MI 49444-3733 | 2007-03-15 |
| 1205920873 | Michael Sherbin | Otolaryngology | 309 Northbound Gratiot Ave, Mount Clemens, MI 48043-5748 | 2006-10-03 |
| 1366462350 | Terry R Degroot | Otolaryngology | 1617 Sheldon Rd, Grand Haven, MI 49417-2543 | 2006-07-20 |
| 1740244870 | Richard J Strabbing | Otolaryngology | 3100 N. Wellness Dr, Holland, MI 49424 | 2006-04-14 |
| 1568423986 | Joe S Chomchai | Otolaryngology | 4851 E Pickard St Ste 2700, Mount Pleasant, MI 48858-2042 | 2006-03-28 |
| 1740265362 | Mehmet Cemal Agabigum | Otolaryngology | 5040 Villa Linde Pkwy, Ste A, Flint, MI 48532-3445 | 2005-12-07 |
| 1437519279 | Kathleen Elizabeth Mcclain | Otolaryngology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2016-03-04 |
| 1285974964 | Drue A Manning | Otolaryngology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2013-02-18 |
| Find all providers with the same taxonomy | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48323 |
Please comment or provide details below to improve the information on CENTER FOR EAR,NOSE AND THROAT PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.