Organization Active NPI

St. Clair Infectious Diseases PC

  • Infectious Disease Physician
  • East China, MI
National Provider Identifier
1386060168
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301074253 Issued in MI
Legal business name
ST. CLAIR INFECTIOUS DISEASES PC
Practice address
4050 River Rd
Ste 2
East China, MI 48054-2931
Phone
(810) 329-2268
Fax
(810) 329-0966
NPI assigned
Mar 17, 2014
Last updated
Mar 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Dr. Sajjad Saeed, MDNPI 1972573681
Title
Owner
Phone
(810) 329-2268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 4301074253 MI Primary

Addresses

Primary practice location

4050 River Rd
Ste 2
East China, MI 48054-2931

Mailing address

4050 River Rd
Ste 2
East China, MI 48054-2931
Phone (810) 329-2268

Other identifiers 1

IdentifierTypeStateIssuer
1972573681OtherMINPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140417001945 MI Part B Supplier - Clinic/Group Practice 0941432348 Receives reassigned benefits from 1 practitioner
Practice locations: Port Huron, MI

National Provider Directory

National Provider Directory

Locations

4050 S River Rd
Ste 2
East China, MI 48054
Phone (810) 329-2268

2615 Electric Ave
Port Huron, MI 48060
Phone (810) 984-8470

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1386060168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 RIVER RD",
            "address_2": "STE 2",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542931",
            "telephone_number": "810-329-2268",
            "fax_number": "810-329-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 RIVER RD",
            "address_2": "STE 2",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542931",
            "telephone_number": "810-329-2268",
            "fax_number": "810-329-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLAIR INFECTIOUS DISEASES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "SAEED",
        "authorized_official_first_name": "SAJJAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-329-2268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301074253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972573681",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East China, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.