NPIMap

Organization Active NPI

Y Hassane MD PC

Doing business as Summit Pediatrics

  • Pediatrics Physician
  • Macomb, MI
National Provider Identifier
1134559735
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301073850 Issued in MI
Legal business name
Y HASSANE MD PC
Doing business as
Summit Pediatrics
Practice address
21840 23 Mile Rd
Macomb, MI 48042-4422
Phone
(586) 598-8115
Fax
(586) 591-5929
NPI assigned
Nov 18, 2013
Last updated
Nov 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Dr. Yasser M Hassane, M.D.NPI 1063563476
Title
Owner
Phone
(586) 840-4916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301073850 MI Primary

Addresses

Primary practice location

21840 23 Mile Rd
Macomb, MI 48042-4422

Mailing address

21840 23 Mile Rd
Macomb, MI 48042-4422
Phone (586) 598-8115

Other identifiers 1

IdentifierTypeStateIssuer
00NFMedicaidMI

Other names 1

  • SUMMIT PEDIATRICS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1134559735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21840 23 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424422",
            "telephone_number": "586-598-8115",
            "fax_number": "586-591-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21840 23 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424422",
            "telephone_number": "586-598-8115",
            "fax_number": "586-591-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y HASSANE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "HASSANE",
        "authorized_official_first_name": "YASSER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-840-4916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301073850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00NF",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMIT PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.