Spartan Surgical Associates PLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

5101016096 Issued in MI

Legal business name

SPARTAN SURGICAL ASSOCIATES PLC

Practice address

24530 Michigan Ave
Dearborn, MI 48124-1700

Phone

(313) 585-9282

NPI assigned

Nov 6, 2013

Last updated

Nov 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nouha Alammar, D.O.NPI 1376854570

Title

Physician

Phone

(313) 622-6879

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Nouha Alammar, D.O

  • Facial Plastic Surgery Physician
  • Dearborn, MI
  • NPI 1376854570
  Medicare reassignment Care Compare group NPD Authorized official
• Ramsey Hammoud, D.O.

  • Orthopaedic Surgery Physician
  • Dearborn, MI
  • NPI 1659492031
  Medicare reassignment Care Compare group NPD
• Kornelis Oosthoek, PT

  • Physical Therapist
  • Canton, MI
  • NPI 1770671299
  NPD
• Marianne Oosthoek, PT

  • Physical Therapist
  • White Lake, MI
  • NPI 1497256481
  NPD

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1144659467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24530 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241700",
            "telephone_number": "313-585-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24530 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241700",
            "telephone_number": "313-585-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTAN SURGICAL ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "ALAMMAR",
        "authorized_official_first_name": "NOUHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-622-6879",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101016167",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101016096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo D Sowle, DC
• Logan Sparks, PA
• Margarita Sparks, LLMSW
• Talore Lenea Sparks
• Taresa Mae Sparks
• Shereta Spearman
• Specialty Medical Center Inc (Specialty Regeneratives)
• Specialty Medical Center Inc
• Tamara Yvette Spence, NURSE PRACTITIONER
• Claudia Spencer

• Otolaryngology/Facial Plastic Surgery Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.