Organization Active NPI

Karmo Aesthetic Center PC

  • Surgery of the Hand (Plastic Surgery) Physician
  • Pontiac, MI
National Provider Identifier
1073711438
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
Legal business name
KARMO AESTHETIC CENTER PC
Practice address
44555 Woodward Ave
Ste 103
Pontiac, MI 48341-5031
Phone
(248) 858-6777
Fax
(248) 858-6799
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Dr. Firas Karmo, M.D.NPI 1679673289
Title
President
Phone
(248) 858-6777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0105X MI Primary

Addresses

Primary practice location

44555 Woodward Ave
Ste 103
Pontiac, MI 48341-5031

Mailing address

44555 Woodward Ave
Ste 103
Pontiac, MI 48341-5031
Phone (248) 858-6777

Other identifiers 1

IdentifierTypeStateIssuer
4560210MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071214000608 MI Part B Supplier - Clinic/Group Practice 6709976673 Receives reassigned benefits from 1 practitioner
Practice locations: Pontiac, MI

National Provider Directory

National Provider Directory

Locations

44555 Woodward Ave
Ste 3
Pontiac, MI 48341

1201 N Telegraph Rd
Pontiac, MI 48341
Phone (248) 858-1797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1073711438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE",
            "address_2": "STE 103",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415031",
            "telephone_number": "248-858-6777",
            "fax_number": "248-858-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE",
            "address_2": "STE 103",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415031",
            "telephone_number": "248-858-6777",
            "fax_number": "248-858-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARMO AESTHETIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "KARMO",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-858-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4560210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.