Midan Medical Holdings PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MIDAN MEDICAL HOLDINGS PLLC

Practice address

2786 E Highland Rd
Highland, MI 48356-2728

Phone

(248) 887-7877

Fax

(248) 887-7522

NPI assigned

Aug 13, 2019

Organization subpart

No

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

Authorized official

Name

Fayez Shukairy, MD

Title

Owner

Phone

(248) 887-7877

Specialties & licenses 2

Addresses

Other names 1

• Paitient Choice Former legal business name

Locations

Practitioners 1

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

• Michelle Ann Betts, NP

  • Family Nurse Practitioner
  • Troy, MI
  • NPI 1144809542
  NPD

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1366098550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2786 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562728",
            "telephone_number": "248-887-7877",
            "fax_number": "248-887-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2786 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562728",
            "telephone_number": "248-887-7877",
            "fax_number": "248-887-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDAN MEDICAL HOLDINGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "SHUKAIRY",
        "authorized_official_first_name": "FAYEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-887-7877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paitient Choice",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Linda Marie Maxwell, OTR
• Dana Pauline Maynard, CCC-SLP
• Tracy Leann McGue, PMHNP-BC, RN
• Michael W Krupic DPM PLLC
• Michigan Dental Associates - Highland PC
• Midan Medical Holdings PLLC
• Midwest Behavioral Clinic LLC
• Midwest Recovery LLC
• Midwest Recovery LLC
• Milford Dental Care

• Family Medicine Physician in Highland, MI
• Providers in Highland, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.