Organization Active NPI

Frank M Fayz MD PC

  • Diagnostic Radiology Physician
  • Dearborn, MI
National Provider Identifier
1023360971
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301056038 Issued in MI
Legal business name
FRANK M FAYZ MD PC
Practice address
600 Town Center Dr
Suite 1275
Dearborn, MI 48126-2718
Phone
(313) 680-2173
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Frank M Fayz, M.D.
Title
President
Phone
(313) 680-2173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 4301056038 MI Primary

Addresses

Primary practice location

600 Town Center Dr
Suite 1275
Dearborn, MI 48126-2718

Mailing address

600 Town Center Dr
Suite 1275
Dearborn, MI 48126-2718
Phone (313) 680-2173

National Provider Directory

National Provider Directory

Locations

600 Town Center Dr
Ste 1275
Dearborn, MI 48126
Phone (313) 680-2173

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1023360971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TOWN CENTER DR",
            "address_2": "SUITE 1275",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262718",
            "telephone_number": "313-680-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TOWN CENTER DR",
            "address_2": "SUITE 1275",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262718",
            "telephone_number": "313-680-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK M FAYZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "FAYZ",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-680-2173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301056038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.