Wafie Roumayah, MD, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

WR047991 Issued in MI

Legal business name

WAFIE ROUMAYAH, MD, PC

Practice address

3345 Coolidge Hwy
Berkley, MI 48072-1635

Phone

(248) 544-7110

Fax

(248) 544-7112

NPI assigned

Jul 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Wafie Danial Roumayah, M.D.

Title

Owner/Physician

Phone

(248) 544-7110

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1376857763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721635",
            "telephone_number": "248-544-7110",
            "fax_number": "248-544-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721635",
            "telephone_number": "248-544-7110",
            "fax_number": "248-544-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAFIE ROUMAYAH, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "ROUMAYAH",
        "authorized_official_first_name": "WAFIE",
        "authorized_official_middle_name": "DANIAL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "248-544-7110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "WR047991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "330630892",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1671510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Varady, LMSW, ACSW
• Vickie Novell, P.L.L.C.
• Erica Volpe, RDH
• Victoria Therese Voros, PA-C
• Rohit Vyas
• Rebecca Wainio, RDH
• Daniel Gerard Walsh, MD
• Sarah Elizabeth Watson, MA, LPC
• Maria Weaver
• Brandon Weber, PA-C

• Clinic/Center in Berkley, MI
• Providers in Berkley, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.