Edward a. Tashjian, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ET046315 Issued in MI

Legal business name

EDWARD A. TASHJIAN, M.D., P.C.

Practice address

3100 Cross Creek Pkwy Ste 140
Auburn Hills, MI 48326-2775

Phone

(248) 332-0296

Fax

(248) 332-3466

NPI assigned

Jul 10, 2012

Last updated

Jul 22, 2026By 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

Diane L Barrow

Title

Office Manager

Phone

(248) 332-0296

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Edward A Tashjian, MD

  • Specialist
  • Auburn Hills, MI
  • NPI 1104918994
  Medicare reassignment

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1164787768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY STE 140",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262775",
            "telephone_number": "248-332-0296",
            "fax_number": "248-332-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY STE 140",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262775",
            "telephone_number": "248-332-0296",
            "fax_number": "248-332-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A. TASHJIAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-332-0296"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "ET046315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1647283",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0632155",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.