MICHIGAN OTOLARYNGOLOGY SURGERY (NPI# 1407987688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407987688 |
| Entity Type | Organization |
| Organization Name | MICHIGAN OTOLARYNGOLOGY SURGERY |
| Practice Address |
5333 Mcauley Dr. Suite 2017 Ypsilanti MI 48197-1014 |
| Practice Telephone | 7344343200 |
| Practice Fax Number | 7344343209 |
| Mailing Telephone | (734) 434-3200 |
| Mailing Fax Number | 7344343209 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | PAUL HOFF (PRESIDENT) |
| Authorized Official Telephone | 7344343200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2305 Genoa Business Park Dr Ste 160, Brighton, MI 481147005 | 7344343200 | 7344343209 |
| 1600 S Canton Center Rd Ste 340, Canton, MI 481886277 | 7344343200 | 7344343209 |
| 14650 E Old Us Highway 12, Chelsea, MI 481181801 | 7344343200 | 7344343209 |
| 1020 E Michigan Ave Ste I, Saline, MI 481761525 | 7344343200 | 7344343209 |
| 14555 Levan Rd Ste 314, Livonia, MI 481545085 | 7344343200 | 7344343209 |
| Street Address |
5333 MCAULEY DR. SUITE 2017 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306306469 | Rana Alqusairi | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr., Suite 4001, Ypsilanti, MI 48197-8633 | 2019-03-23 |
| 1275093007 | Erika Victoria Gale | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr., Suite 4001, Ypsilanti, MI 48197-8633 | 2019-03-19 |
| 1780114389 | Holly Joanna-jones Pierson | Physical Medicine & Rehabilitation | 5333 Mcauley Dr., Ste 2009, Ypsilanti, MI 48197 | 2017-06-15 |
| 1942627054 | Daniel Joseph Devincent | Radiology | 5333 Mcauley Dr., Suite 6016, Ypsilanti, MI 48197 | 2014-03-26 |
| 1942323225 | Rami Kaakaji I | Radiology | 5333 Mcauley Dr., Suite 6016, Ypsilanti, MI 48197 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285378 | Thomas A Weimert | Otolaryngology | 5333 Mcauley Dr, Rm 2017, Ypsilanti, MI 48197-1096 | 2005-06-20 |
| 1184884611 | Joseph Morgan Seymour | Otolaryngology | 5333 Mcauley Dr, Rm 2017, Ypsilanti, MI 48197-1096 | 2008-06-09 |
| 1740497544 | Meredith Juanita Montero Brandt | Otolaryngology | 5333 Mcauley Dr, Suite 2017, Ypsilanti, MI 48197-1014 | 2007-05-17 |
| 1619008810 | Laurence Ho | Otolaryngology | 5333 Mcauley Dr, Suite 2017, Ypsilanti, MI 48197-1014 | 2007-03-08 |
| 1326179904 | Ronald S Bogdasarian | Otolaryngology | 5333 Mcauley Dr, Suite 2017, Ypsilanti, MI 48197-1014 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445980 | Anuja Dharap | Otolaryngology | 35630 Grand River Ave Apt 217, Farmington Hills, MI 48335-3120 | 2020-04-13 |
| 1598311334 | Cogent Medical Group Pllc | Otolaryngology | 28300 Orchard Lake Rd Ste 101, Farmington Hills, MI 48334-3704 | 2019-08-16 |
| 1073025334 | Robert J Stachler Md PC | Otolaryngology | 33200 W. 14 Mile Rd., Ste. 240, West Bloomfield, MI 48322 | 2017-10-26 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1174905822 | Scott Jacob Schwartz | Otolaryngology | 6900 Orchard Lake Rd Ste 314, West Bloomfield, MI 48322-3457 | 2015-06-18 |
| 1669868402 | Cameron M Heilbronn | Otolaryngology | 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 | 2015-04-08 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1437574530 | Beacon Medical Group, Inc. | Otolaryngology | 711 S Health Pkwy Ste 1, Medical Office Building #1, Three Rivers, MI 49093-8354 | 2014-02-26 |
| 1124361621 | Eric Fahed Succar | Otolaryngology | 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 | 2013-04-03 |
| 1396086286 | Nathan Vandjelovic | Otolaryngology | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2013-03-03 |
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| 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.