UNIVERSITY SURGEONS (NPI# 1770515041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770515041 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY SURGEONS |
| Practice Address |
4160 John R St. Suite 615 Detroit MI 48201 |
| Mailing Address |
3800 Woodward Ave. Suite 702 Detroit MI 48201 |
| Practice Telephone | 3137454195 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TOM FALK (ADMINISTRATOR) |
| Authorized Official Telephone | 3137454771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 204F00000X | Transplant Surgery | Allopathic & Osteopathic Physicians | ||
| X | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| X | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians | ||
| X | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| X | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| X | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063538429 | University Surgeons | Plastic Surgery | 3901 Beaubien St, Detroit, MI 48201-2119 | 2007-03-21 |
| 1154447522 | University Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4160 John R St, Suite 615, Detroit, MI 48201-2020 | 2007-03-21 |
| 1780759555 | University Surgeons | Surgery | 1725 W Harrison, Suite 810, Chicago, IL 60612-3828 | 2006-11-21 |
| Street Address |
4160 JOHN R ST. SUITE 615 |
| City | DETROIT |
| State | MI |
| Zip Code | 48201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366091613 | Mahmoud Mustafa Musa | Student in an Organized Health Care Education/Training Program | 4160 John R St., Division of Nephrology/harper Professional Office Build, Detroit, MI 48201 | 2019-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518413178 | Hirak Pahari | Transplant Surgery | 1350 W. Bethune St., Apt 807, Detroit, MI 48202 | 2016-09-01 |
| 1447299797 | University Physician Group | Transplant Surgery | 4201 St. Antoine St., Detroit, MI 48201 | 2006-06-05 |
| 1265849848 | Kazuhiro Takahashi | Transplant Surgery | 2799 West Grand Boulevard, Detroit, MI 48202 | 2014-07-16 |
| 1962844472 | Mahmoud Abdel Rahim Tabbal | Transplant Surgery | 2799 W Grand Blvd, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202-2608 | 2013-07-25 |
| 1821433913 | Shunji Nagai | Transplant Surgery | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2013-05-03 |
| 1114153079 | Vrishali P Patil | Transplant Surgery | 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202-2608 | 2009-06-05 |
| 1174757652 | Rajeev Sharma | Transplant Surgery | 3990 John R St, Detroit, MI 48201-2059 | 2009-05-12 |
| 1245497478 | Jason Andrew Rolls | Transplant Surgery | 4160 John R St, Suite 615, Detroit, MI 48201-2020 | 2008-05-16 |
| 1609066455 | Shakir Hussein | Transplant Surgery | 3990 John R St, Suite 615, Detroit, MI 48201-2018 | 2007-07-27 |
| 1346450483 | Mohamad Noureddin Almarastani | Transplant Surgery | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-05-23 |
| Find all providers in DETROIT | ||||
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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.