NPIMap

Organization Active NPI

Summit Total Care PLLC

  • Family Medicine Physician
  • Oak Park, MI
National Provider Identifier
1225564271
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301102602 Issued in MI
Legal business name
SUMMIT TOTAL CARE PLLC
Practice address
23350 Greenfield Rd Ste 200
Oak Park, MI 48237-2496
Phone
(248) 808-6225
NPI assigned
May 11, 2017
Organization subpart
Yes
Parent organization
SUMMIT TOTAL CARE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Sahar HassaneNPI 1710463005
Title
Manager
Phone
(586) 598-8115

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301102602 MI Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

23350 Greenfield Rd Ste 200
Oak Park, MI 48237-2496

Mailing address

23350 Greenfield Rd Ste 200
Oak Park, MI 48237-2496
Phone (248) 808-6225

National Provider Directory

National Provider Directory
Part of
Summit Total Care PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1225564271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23350 GREENFIELD RD STE 200",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372496",
            "telephone_number": "248-808-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23350 GREENFIELD RD STE 200",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372496",
            "telephone_number": "248-808-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT TOTAL CARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT TOTAL CARE PLLC",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "HASSANE",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-598-8115"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301102602",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.