Organization Active NPI

Steven J. Fadoir, PH.D. P.C.

  • Clinic/Center
  • Farmington Hills, MI
National Provider Identifier
1194985689
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6301006008 Issued in MI
Legal business name
STEVEN J. FADOIR, PH.D. P.C.
Practice address
31330 Northwestern Hwy
Suite D
Farmington Hills, MI 48334-2560
Phone
(248) 737-9903
Fax
(248) 737-9963
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Steven J. Fadoir, PH.D.NPI 1457486698
Title
Owner / President
Phone
(248) 737-9903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6301006008 MI Primary

Addresses

Primary practice location

31330 Northwestern Hwy
Suite D
Farmington Hills, MI 48334-2560

Mailing address

31330 Northwestern Hwy
Suite D
Farmington Hills, MI 48334-2560
Phone (248) 737-9903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080820000708 MI Part B Supplier - Clinic/Group Practice 6103991468 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

31330 Northwestern Hwy
Ste D
Farmington Hills, MI 48334
Phone (248) 737-9903

31330 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 737-9090

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1194985689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31330 NORTHWESTERN HWY",
            "address_2": "SUITE D",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342560",
            "telephone_number": "248-737-9903",
            "fax_number": "248-737-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31330 NORTHWESTERN HWY",
            "address_2": "SUITE D",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342560",
            "telephone_number": "248-737-9903",
            "fax_number": "248-737-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J. FADOIR, PH.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "FADOIR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "248-737-9903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "6301006008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.