M. Haitham Al-Midani, MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

4301037021 Issued in MI

Legal business name

M. HAITHAM AL-MIDANI, MD PC

Practice address

4050 Walli Strasse Dr
Burton, MI 48509-1727

Phone

(810) 743-0680

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Muhammad Haitham Al-Midani, M.D.NPI 1366527160

Title

Physician / Owner

Phone

(810) 743-0680

Specialties & licenses 1

Addresses

Other identifiers 5

Tax ID family

M Haitham Al-Midani MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• M Haitham Al-Midani MD PC

  • Gastroenterology Physician
  • Burton, MI
  • NPI 1568638047
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muhammad Haitham Al-Midani, MD FACP

  • Gastroenterology Physician
  • Burton, MI
  • NPI 1366527160
  NPD Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1184813941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 WALLI STRASSE DR",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091727",
            "telephone_number": "810-743-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 WALLI STRASSE DR",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091727",
            "telephone_number": "810-743-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. HAITHAM AL-MIDANI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "AL-MIDANI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "HAITHAM",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "810-743-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301037021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "1002512771",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "1100661",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C2751",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02500611",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1388637",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beatrice Chartae Lowe
• Stacy Lueckeman
• James Lum, DO
• Luxottica of America Inc. (Pearle Vision #1391)
• M Haitham Al-Midani MD PC
• Samara Mabry
• Manilal O Mewada MDPC
• Tawanna Leanne Manuel
• Marlot Nursing Registry, Inc. (Marlot Home Care, Inc.)
• Fred Maro, PA-C

• Gastroenterology Physician in Burton, MI
• Providers in Burton, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.