Mazen Sabbaq M.D. P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4301075366 Issued in MI

Legal business name

MAZEN SABBAQ M.D. P.C.

Practice address

75 Barclay Cir Ste 205
Rochester Hills, MI 48307-5821

Phone

(248) 651-6430

Fax

(248) 650-1382

NPI assigned

May 16, 2006

Last updated

Oct 21, 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

Dr. Mazen Sabbaq, M.D.NPI 1457318545

Title

Owner

Phone

(248) 651-6430

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mazen Sabbaq, M.D.

  • Pulmonary Disease Physician
  • Rochester Hills, MI
  • NPI 1457318545
  Medicare reassignment NPD Authorized official
• Ibrahim Al-Sanouri, MD

  • Pulmonary Disease Physician
  • Madison, WI
  • NPI 1356452833
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1073564662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075821",
            "telephone_number": "248-651-6430",
            "fax_number": "248-650-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075821",
            "telephone_number": "248-651-6430",
            "fax_number": "248-650-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZEN SABBAQ M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "SABBAQ",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-651-6430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301075366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4887882",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noelle Marie Maude, NP
• Ami K Mavani, M.D.
• Alexandra B Maxwell, LLC
• Alexandra May, DPT
• Octave Anquan May
• Mazher Hussain MD, PC
• James P McBride, MD
• Kelly Suzanne McCarthy
• Mark McCleese
• Paige McCrystle McClelland, DDS

• Clinic/Center in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.