Active NPI
Plastic Surgery Affiliates PC
- Plastic Surgery Physician
- Southfield, MI
National Provider Identifier
1174776033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 032600
- Legal business name
- PLASTIC SURGERY AFFILIATES PC
- Practice address
- 30603 Southfield Rd
Southfield, MI 48076-7729 - Phone
- (248) 355-9911
- Fax
- (248) 355-9961
- NPI assigned
- Oct 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hashim M. Alani, M.D.
- Title
- President
- Phone
- (248) 355-9911
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 032600 | MI | |
| Plastic Surgery Physician | 208200000X | 032600 | MI | Primary |
Addresses
Primary practice location
30603 Southfield Rd
Southfield, MI 48076-7729
Mailing address
30603 Southfield Rd
Southfield, MI 48076-7729
Phone (248) 355-9911
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1981890 | Medicaid | MI | |
| 507512 | Other | MI | PRIORTY |
| 5219023 | Other | MI | AETNA |
| 6195 | Other | MI | GREAT WEST |
| D85235 | Other | MI | HAP |
National Provider Directory
National Provider DirectoryLocations
36880 Woodward Ave
Ste 203
Bloomfld Hls, MI 48304
Phone (248) 269-4100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1174776033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30603 SOUTHFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480767729",
"telephone_number": "248-355-9911",
"fax_number": "248-355-9961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30603 SOUTHFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480767729",
"telephone_number": "248-355-9911",
"fax_number": "248-355-9961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGERY AFFILIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-23",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "ALANI",
"authorized_official_first_name": "HASHIM",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-355-9911",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "MI",
"license": "032600",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "MI",
"license": "032600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1981890",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORTY",
"identifier": "507512",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5219023",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "6195",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "D85235",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.