Greater Genesee County Aco

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GREATER GENESEE COUNTY ACO

Practice address

1397 S Linden Rd
Suite D
Flint, MI 48532-4194

Phone

(810) 720-4200

Fax

(810) 720-2711

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Samasandrapalya Kiran, MD

Title

Chairman

Phone

(810) 720-4200

Specialties & licenses 3

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Michelle Graham, PA

  • Physician Assistant
  • Novi, MI
  • NPI 1841320991
  NPD (past)
• Saed J Sahouri, M.D.

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1558451211
  NPD (past)

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1225426711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CHARTER DR",
            "address_2": "SUITE D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323584",
            "telephone_number": "810-720-4200",
            "fax_number": "810-720-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 S LINDEN RD",
            "address_2": "SUITE D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324194",
            "telephone_number": "810-720-4200",
            "fax_number": "810-720-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER GENESEE COUNTY ACO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "KIRAN",
        "authorized_official_first_name": "SAMASANDRAPALYA",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "810-720-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Recovery Mission, LLC
• Great Lakes Teleradiology Ventures LLC
• Great Lakes Urgent Care Center PC
• Greater Flint Health Coalition
• Greater Flint Prosthetic Center
• Greater Than Love Independence LLC
• Green Specialty Pharmacy (Benzer Pharmacy)
• Anna Grace Green-Soriano
• Bethany Green, LMSW
• Brittany Lashawn Green

• Internal Medicine Physician in Flint, MI
• Providers in Flint, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.