NPIMap

Organization Active NPI

Regents of the University of Michigan

  • Ambulatory Surgical Clinic/Center
  • Livonia, MI
National Provider Identifier
1356434658
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
810060 Issued in MI
Legal business name
REGENTS OF THE UNIVERSITY OF MICHIGAN
Practice address
19900 Haggerty Rd
Livonia, MI 48152
Phone
(734) 462-1888
NPI assigned
Oct 2, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
David Christopher Miller, MD
Title
President
Phone
(734) 936-3568

National Provider Directory

National Provider Directory
Tax ID family
Regents of Univ of Michigan157 organizations share this tax ID

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 810060 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

19900 Haggerty Rd
Livonia, MI 48152

Mailing address

3621 S State St
Provider Enrollment
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
40029OtherMIBC OF MI LIVONIA ASC

Other names 1

NPPES NPI Registry
  • Livonia Ambulatory Surgical Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 3, 2021.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1356434658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 HAGGERTY RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48152",
            "telephone_number": "734-462-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-05-03",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-936-3568",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "810060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC  OF MI LIVONIA ASC",
            "identifier": "40029",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livonia Ambulatory Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Livonia Ambulatory Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.