NPIMap

Organization Active NPI

Michigan Sleep Society & Research Center, LLC

  • Sleep Specialist (PhD)
  • Flint, MI
National Provider Identifier
1225401599
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
License
E7374T Issued in MI
Legal business name
MICHIGAN SLEEP SOCIETY & RESEARCH CENTER, LLC
Practice address
G3285 Beecher Rd
Flint, MI 48532-3615
Phone
(810) 874-8384
Fax
(810) 733-8023
NPI assigned
Nov 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Ms. Sommer Camille Green, MPA
Title
President
Phone
(810) 733-8338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173F00000X E7374T MI Primary

Addresses

Primary practice location

G3285 Beecher Rd
Flint, MI 48532-3615

Mailing address

G3285 Beecher Rd
Suite M
Flint, MI 48532-3615
Phone (810) 733-8338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1225401599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3285 BEECHER RD",
            "address_2": "SUITE M",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323615",
            "telephone_number": "810-733-8338",
            "fax_number": "810-733-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3285 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323615",
            "telephone_number": "810-874-8384",
            "fax_number": "810-733-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SLEEP SOCIETY & RESEARCH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SOMMER",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-733-8338",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "MI",
            "license": "E7374T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.