Organization Active NPI

Family Medicine and Sleep Specialist PC

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1003137274
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301053641 Issued in MI
Legal business name
FAMILY MEDICINE AND SLEEP SPECIALIST PC
Practice address
11670 Martin Rd
Warren, MI 48093-4511
Phone
(586) 754-3830
Fax
(586) 754-3840
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Asima Hussain, M.D.
Title
Owner
Phone
(586) 754-3830

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301053641 MI Primary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X 4301053641 MI

Addresses

Primary practice location

11670 Martin Rd
Warren, MI 48093-4511

Mailing address

11670 Martin Rd
Warren, MI 48093-4511
Phone (586) 754-3830

National Provider Directory

National Provider Directory

Locations

11670 Martin Rd
Warren, MI 48093
Phone (586) 709-2264

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1003137274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11670 MARTIN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934511",
            "telephone_number": "586-754-3830",
            "fax_number": "586-754-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 MARTIN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934511",
            "telephone_number": "586-754-3830",
            "fax_number": "586-754-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE AND SLEEP SPECIALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "ASIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-754-3830",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301053641",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MI",
            "license": "4301053641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.