Great Lakes Sleep Medicine Institute PLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

GREAT LAKES SLEEP MEDICINE INSTITUTE PLC

Practice address

3058 Metropolitan Parkway
Suite 108
Sterling Heights, MI 48310

Phone

(586) 268-0100

Fax

(586) 268-5818

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Yevgeniy Stefadu, MDNPI 1316913270

Title

Owner

Phone

(586) 268-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yevgeniy G Stefadu, M.D., PH.D

  • Sleep Medicine (Internal Medicine) Physician
  • Sterling HTS, MI
  • NPI 1316913270
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1295906741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 CROWFOOT",
            "address_2": "C O Y STEFADU MD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-268-0100",
            "fax_number": "586-268-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 METROPOLITAN PARKWAY",
            "address_2": "SUITE 108",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-268-0100",
            "fax_number": "586-268-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES SLEEP MEDICINE INSTITUTE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "STEFADU",
        "authorized_official_first_name": "YEVGENIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-268-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE STUDY",
            "identifier": "OP22380",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Great Lakes Orthopedic Physical Therapy, Inc.
• Great Lakes Pediatric Cardiology PLLC
• Great Lakes Pediatric Cardiology, PLLC
• Great Reliable Services LLC
• Great Steps Clinic PC
• Greatlakes Chiropractic
• Astarta Green
• Noah Alan-Donald Green

• Sleep Medicine (Internal Medicine) Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Sleep Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.