Organization Active NPI

Michael S Salesin MD PLC

  • Gynecology Physician
  • West Bloomfield, MI
National Provider Identifier
1033259288
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
MICHAEL S SALESIN MD PLC
Practice address
2300 Haggerty Rd
Ste 2070
West Bloomfield, MI 48323-2190
Phone
(248) 926-2020
Fax
(248) 926-9020
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Dr. Michael S Salesin, MD
Title
Owner
Phone
(248) 926-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X MI Primary

Addresses

Primary practice location

2300 Haggerty Rd
Ste 2070
West Bloomfield, MI 48323-2190

Mailing address

2300 Haggerty Rd
Ste 2070
West Bloomfield, MI 48323-2190
Phone (248) 926-2020

Other identifiers 3

IdentifierTypeStateIssuer
449595310MedicaidMI
160F303800OtherMIBLUE CROSS CORPORATE PIN
1033259288OtherMINPI

National Provider Directory

National Provider Directory

Locations

27207 Lahser Rd
Southfield, MI 48034
Phone (248) 357-0880

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1033259288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "STE 2070",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232190",
            "telephone_number": "248-926-2020",
            "fax_number": "248-926-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "STE 2070",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232190",
            "telephone_number": "248-926-2020",
            "fax_number": "248-926-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S SALESIN MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "SALESIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-926-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449595310",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CORPORATE PIN",
            "identifier": "160F303800",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033259288",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.