Organization Active NPI

Michigan Thoracic Institute, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • West Bloomfield, MI
National Provider Identifier
1154767382
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
4301095932 Issued in MI
Legal business name
MICHIGAN THORACIC INSTITUTE, PC
Practice address
6640 Kings CT
West Bloomfield, MI 48322-2779
Phone
(313) 575-2594
Fax
(248) 438-6446
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Dr. David Sternberg
Title
Ceo
Phone
(313) 575-2594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 4301095932 MI Primary

Addresses

Primary practice location

6640 Kings CT
West Bloomfield, MI 48322-2779

Mailing address

6640 Kings CT
West Bloomfield, MI 48322-2779
Phone (313) 575-2594

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1154767382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 KINGS CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222779",
            "telephone_number": "313-575-2594",
            "fax_number": "248-438-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 KINGS CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222779",
            "telephone_number": "313-575-2594",
            "fax_number": "248-438-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN THORACIC INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "STERNBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-575-2594",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301095932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.