Cecelia F. Hissong, M.D., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

CH027214 Issued in MI

Legal business name

CECELIA F. HISSONG, M.D., P.C.

Practice address

23100 Cherry Hill St
Suite 8
Dearborn, MI 48124-1493

Phone

(313) 563-5310

Fax

(313) 563-8147

NPI assigned

Jan 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Cecelia F Hissong, M.D.NPI 1780685008

Title

President

Phone

(313) 563-5310

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Cecelia F Hissong M D P C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cecelia F. Hissong, M. D., P. C.

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1033295167
  NPD tax ID

Locations

Practitioners 1

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

• Cecelia F. Hissong, M.D.

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1780685008
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1124359658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST",
            "address_2": "SUITE 8",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241493",
            "telephone_number": "313-563-5310",
            "fax_number": "313-563-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST",
            "address_2": "SUITE 8",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241493",
            "telephone_number": "313-563-5310",
            "fax_number": "313-563-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECELIA F. HISSONG, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "HISSONG",
        "authorized_official_first_name": "CECELIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-563-5310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "CH027214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MI",
            "identifier": "080824144",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102095139",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "080824144",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "B44598",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010045869",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Jeanne Catalanotto, PT, DPT
• Dan Caverzan
• Ccma-BT PLLC
• Kelly Cebula
• Cecelia F. Hissong, M. D., P. C.
• Cedar Medical Associates
• Cedar Medical SNF Services PLLC
• Haddy Ceesay
• Perry Erminio Cellini, DDS
• Celox

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.