University Otolaryngology

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

UNIVERSITY OTOLARYNGOLOGY

Practice address

4201 Saint Antoine St
Suite 5G
Detroit, MI 48201-2153

Phone

(313) 745-4656

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Branka

Title

Coordinator

Phone

(313) 745-1740

Specialties & licenses 1

Addresses

Tax ID family

University Otolaryngology3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• University Otolaryngology

  • Audiologist
  • Bloomfield Township, MI
  • NPI 1720103112
  NPD tax ID
• University Otolaryngology

  • Hearing Aid Equipment
  • Southfield, MI
  • NPI 1881858272
  NPD tax ID

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063537462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WOODWARD AVE",
            "address_2": "SUITE 600",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "SUITE 5G",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OTOLARYNGOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANKA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "313-745-1740"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Detroit Mercy
• University of Detroit Mercy
• University of Detroit Mercy
• University of Detroit Mercy (McAuley Health Center)
• University of Detroit Mercy School of Dentistry
• University Pain Clinic Associates, PLLC
• University Pathologists PC
• University Pediatricians
• University Pediatricians
• University Pediatricians

• Prosthodontics in Detroit, MI
• Providers in Detroit, MI by specialty
• Prosthodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.