Active NPI
Laurie Ellyn Sabin, DO
- Family Medicine Physician
- Southfield, MI
National Provider Identifier
1104609759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101013322
- Practice address
- 27774 Franklin Rd
Southfield, MI 48034-2352 - Phone
- (248) 356-5555
- NPI assigned
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101013322 | MI | Primary |
Addresses
Primary practice location
27774 Franklin Rd
Southfield, MI 48034-2352
Mailing address
5373 Van Ness CT
Bloomfield Hills, MI 48302-2659
Phone (248) 245-9517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101013322 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Management Services, LLC | Family Medicine | Past | Accepting new patients |
| Park Family Health Care, P.C. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Detroit, MI
- NPI 1437161437
-
- Family Medicine Physician
- Southfield, MI
- NPI 1578608410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1104609759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5373 VAN NESS CT",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483022659",
"telephone_number": "248-245-9517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27774 FRANKLIN RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480342352",
"telephone_number": "248-356-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABIN",
"first_name": "LAURIE",
"middle_name": "ELLYN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101013322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.