Organization Active NPI

Millenium North PC

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1265687321
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301064720 Issued in MI
Legal business name
MILLENIUM NORTH PC
Practice address
3400 Fleckenstein Rd
Suite 3
Flint, MI 48507-3043
Phone
(810) 230-9323
Fax
(810) 230-9328
NPI assigned
Nov 17, 2008
Last updated
Dec 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Authorized official

Name
Dr. Sami Elias Asmar, M.D.
Title
Doctor
Phone
(810) 230-9323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301064720 MI Primary

Addresses

Primary practice location

3400 Fleckenstein Rd
Suite 3
Flint, MI 48507-3043

Mailing address

3400 Fleckenstein Rd
Suite 3
Flint, MI 48507-3043
Phone (810) 230-9323

Other identifiers 1

IdentifierTypeStateIssuer
4649370MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1265687321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 FLECKENSTEIN RD",
            "address_2": "SUITE 3",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073043",
            "telephone_number": "810-230-9323",
            "fax_number": "810-230-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 FLECKENSTEIN RD",
            "address_2": "SUITE 3",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073043",
            "telephone_number": "810-230-9323",
            "fax_number": "810-230-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIUM NORTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "ASMAR",
        "authorized_official_first_name": "SAMI",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "810-230-9323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301064720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4649370",
            "state": "MI"
        }
    ],
    "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 5, 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.