Active NPI
Bashar Succar, MD
- Otolaryngology Physician
- Pontiac, MI
National Provider Identifier
1255435350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 4301035458
- Practice address
- 44200 Woodward Ave
Suite 201
Pontiac, MI 48341-9490 - Phone
- (248) 334-9490
- Fax
- (248) 636-1170
- NPI assigned
- Sep 11, 2006
- Last updated
- Jan 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 4301035458 | MI | Primary |
Addresses
Primary practice location
44200 Woodward Ave
Suite 201
Pontiac, MI 48341-9490
Mailing address
44200 Woodward Ave
Suite 201
Pontiac, MI 48341-9490
Phone (248) 334-9490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bashar Succar MD PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1255435350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44200 WOODWARD AVE",
"address_2": "SUITE 201",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483419490",
"telephone_number": "248-334-9490",
"fax_number": "248-636-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44200 WOODWARD AVE",
"address_2": "SUITE 201",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483419490",
"telephone_number": "248-334-9490",
"fax_number": "248-636-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCCAR",
"first_name": "BASHAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MI",
"license": "4301035458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.