Advanced ENT & Allergy PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ADVANCED ENT & ALLERGY PLLC

Practice address

10645 W Warren Ave Ste 201
Dearborn, MI 48126-8009

Phone

(313) 644-0020

Fax

(313) 315-2011

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Zaher Srour, MDNPI 1194928069

Title

MD

Phone

(313) 644-0020

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

• Zaher Srour, M.D.

  • Otolaryngic Allergy Physician
  • Hanover, PA
  • NPI 1194928069

  MI, Multi-Specialty

  Medicare reassignment NPD Authorized official
• Zehra Khalid Alghazaly, PA-C

  • Physician Assistant
  • Sterling Heights, MI
  • NPI 1700578655

  MI

  Medicare reassignment

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1194431817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 W WARREN AVE STE 201",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481268009",
            "telephone_number": "313-644-0020",
            "fax_number": "313-315-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10645 W WARREN AVE STE 201",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481268009",
            "telephone_number": "313-644-0020",
            "fax_number": "313-315-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENT & ALLERGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "SROUR",
        "authorized_official_first_name": "ZAHER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "313-644-0020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Orthopedic Supplies, Inc.
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• Advanced Pain Specialists

• All providers in Dearborn, MI
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.