Organization Active NPI

Sayeg Plastic Surgery Center PC

  • Plastic Surgery Physician
  • West Bloomfield, MI
National Provider Identifier
1215063284
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
SAYEG PLASTIC SURGERY CENTER PC
Practice address
6858 Cambridge CT
West Bloomfield, MI 48322-2964
Phone
(248) 526-9090
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mr. Ayoub Sayeg, MD
Title
Owner
Phone
(248) 526-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

6858 Cambridge CT
West Bloomfield, MI 48322-2964

Mailing address

1120 E Long Lake Rd
Troy, MI 48085-4974

Other identifiers 1

IdentifierTypeStateIssuer
4374359MedicaidMI

National Provider Directory

National Provider Directory

Locations

1120 E Long Lake Rd
Troy, MI 48085
Phone (248) 729-7180

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1215063284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6858 CAMBRIDGE CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222964",
            "telephone_number": "248-526-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYEG PLASTIC SURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "SAYEG",
        "authorized_official_first_name": "AYOUB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-526-9090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4374359",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.