Daniel D Sherbert MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

4301051281 Issued in MI

Legal business name

DANIEL D SHERBERT MD

Practice address

5807 W Maple Rd
Suite 177
West Bloomfield, MI 48322-4483

Phone

(248) 865-6400

Fax

(248) 865-6404

NPI assigned

Mar 15, 2007

Reactivated

Jun 25, 2009

Organization subpart

No

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

Authorized official

Name

Beth A Sherbert

Title

Office Manager

Phone

(248) 865-6400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• West Maple Plastic Surgery Former legal business name

Practitioners 2

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

• Jeffrey Thomas Desano II, D.O.

  • Plastic Surgery Physician
  • West Bloomfield, MI
  • NPI 1891108759
  NPD (past)
• Daniel D Sherbert, MD

  • Plastic Surgery Physician
  • West Bloomfield, MI
  • NPI 1124091434
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1114051935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 W MAPLE RD",
            "address_2": "SUITE 177",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224483",
            "telephone_number": "248-865-6400",
            "fax_number": "248-865-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 W MAPLE RD",
            "address_2": "SUITE 177",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224483",
            "telephone_number": "248-865-6400",
            "fax_number": "248-865-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D SHERBERT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-07-23",
        "deactivation_date": "2008-08-04",
        "reactivation_date": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "SHERBERT",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-865-6400"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301051281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346090810",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "240F376480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Maple Plastic Surgery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rand R. Dabal, PHARMD
• Brittney Daftuar, LMSW
• Erin Daiek
• Elizabeth Dale, ANP-BC
• Daniel a Edwards PHD
• Mohammad Daoud
• Wessam Daoud
• Ara Darakdjian, PA-C
• James Olayinka Daramola, ACNP-BC
• Vigen Darian, M.D.

• Plastic Surgery Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.