Organization Active NPI

Michigan Sleep Specialists

  • Specialist
  • Flint, MI
National Provider Identifier
1093853210
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
EA069292 Issued in MI
Legal business name
MICHIGAN SLEEP SPECIALISTS
Practice address
G3237 Beecher Rd
M
Flint, MI 48532-3695
Phone
(810) 733-8338
Fax
(810) 733-8023
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sommer Camille Green, MPA
Title
Owner
Phone
(810) 733-8338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X EA069292 MI Primary

Addresses

Primary practice location

G3237 Beecher Rd
M
Flint, MI 48532-3695

Mailing address

G3237 Beecher Rd
M
Flint, MI 48532-3695
Phone (810) 733-8338

Other identifiers 1

IdentifierTypeStateIssuer
4996410MedicaidMI

National Provider Directory

National Provider Directory

Locations

G3237 Beecher Rd
Ste M
Flint, MI 48532
Phone (810) 733-8338

106 Huron Blvd
Marysville, MI 48040
Phone (810) 364-8913

17515 W 9 Mile Rd
Ste 1075
Southfield, MI 48075
Phone (248) 569-8048

Practitioners & affiliated clinicians

Practitioners 2

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093853210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3237 BEECHER RD",
            "address_2": "M",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323695",
            "telephone_number": "810-733-8338",
            "fax_number": "810-733-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3237 BEECHER RD",
            "address_2": "M",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323695",
            "telephone_number": "810-733-8338",
            "fax_number": "810-733-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SLEEP SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SOMMER",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-733-8338",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "EA069292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4996410",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • 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.