Active NPI
Ted H Schwartzenfeld, D.O.
- Otolaryngology/Facial Plastic Surgery Physician
- Madison Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 5101006332
- Practice address
- 27483 Dequindre Rd Ste 201
Madison Heights, MI 48071-5711 - Phone
- (248) 541-0100
- Fax
- (248) 399-3960
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 5101006332 | MI | Primary |
Addresses
Primary practice location
27483 Dequindre Rd Ste 201
Madison Heights, MI 48071-5711
Mailing address
27483 Dequindre Rd Ste 201
Madison Heights, MI 48071-5711
Phone (248) 541-0100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4170644 | Medicaid | MI | |
| 4170653 | Medicaid | MI | |
| 4170662 | Medicaid | MI | |
| 4343620 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101006332 | MI | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| David Schwartzenfeld Medical PC | Current | Accepting new patients | |
| ENT Surgical Assoc PC | Otolaryngology/Facial Plastic Surgery | Past | Accepting new patients |
Locations
6825 Allen Rd
Allen Park, MI 48101
28080 Grand River Ave
Ste 205W
Farmington Hills, MI 48336
Phone (248) 478-8616
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
27483 Dequindre Rd
Ste 201
Madison Hts, MI 48071
Phone (248) 541-0100
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
8790 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-2520
28295 Schoenherr Rd
Ste B
Warren, MI 48088
Phone (586) 226-6120
Interoperability endpoints
- ted.schwartzenfeld.1@14250.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Rochester Hills, MI
- NPI 1508048901
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- Otolaryngology/Facial Plastic Surgery Physician
- Madison Heights, MI
- NPI 1225073687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1124007539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27483 DEQUINDRE RD STE 201",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480715711",
"telephone_number": "248-541-0100",
"fax_number": "248-399-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27483 DEQUINDRE RD STE 201",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480715711",
"telephone_number": "248-541-0100",
"fax_number": "248-399-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZENFELD",
"first_name": "TED",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "MI",
"license": "5101006332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4170644",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4170653",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4170662",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4343620",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.