Advanced Sleep Disorder Center LLC

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

GA405226 Issued in MI

Legal business name

ADVANCED SLEEP DISORDER CENTER LLC

Practice address

1159 E Michigan Ave
Suite D
Ypsilanti, MI 48198-5807

Phone

(734) 480-4250

Fax

(734) 480-4251

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth J Phillips

Title

Manager

Phone

(248) 851-1264

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Gavin I Awerbuch MD PLLC, MD

  • Neurology Physician
  • Saginaw, MI
  • NPI 1811984487
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114095510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250681",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480250681",
            "telephone_number": "248-851-1264",
            "fax_number": "248-851-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 E MICHIGAN AVE",
            "address_2": "SUITE D",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985807",
            "telephone_number": "734-480-4250",
            "fax_number": "734-480-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SLEEP DISORDER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-851-1264"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MI",
            "license": "GA405226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4618122",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Huda Afaneh, M.D.
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• Jeffrey Afrifa-Yamoah, M.D
• Eman Afroze

• Sleep Medicine (Psychiatry & Neurology) Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in Michigan

• 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.