Amjad M Yaish DO PLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

5101013550 Issued in MI

Legal business name

AMJAD M YAISH DO PLC

Practice address

21620 Harrington St
Clinton Township, MI 48036-2319

Phone

(586) 469-8300

NPI assigned

Dec 20, 2010

Last updated

Feb 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amjad M Yaish, DONPI 1598791931

Title

President

Phone

(586) 469-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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.

• Amjad M Yaish, D.O.

  • Orthopaedic Surgery Physician
  • Clinton TWP, MI
  • NPI 1598791931
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1275836900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21620 HARRINGTON ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362319",
            "telephone_number": "586-469-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21620 HARRINGTON ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362319",
            "telephone_number": "586-469-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMJAD M YAISH DO PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "YAISH",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-469-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101013550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4422008",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Amcheslavsky-Reisin, AFC
• Amy Deal Ames, DNP, APRN, PMHNP-BC
• Richard Michael Amesquita, DO
• Amit Batra D.D.S
• Amit K Garg M.D., P.C. (Macomb Cardiology Associates P.C.)
• Anna Amore
• Kayla Ampey, LLMSW
• Amy D Gramzow DC PC
• Ana Pain Management PC
• Mary Kathleen Anaya, LMSW

• Orthopaedic Surgery Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.