Ariel Waitzman MD PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4301071017 Issued in MI

Legal business name

ARIEL WAITZMAN MD PLLC

Practice address

15212 Michigan Ave
Dearborn, MI 48126-3497

Phone

(313) 582-8853

Fax

(313) 582-6417

NPI assigned

Apr 28, 2008

Last updated

Jun 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ariel Andre Waitzman, MDNPI 1639149677

Title

Physician

Phone

(313) 582-8853

Specialties & licenses 1

Addresses

Other identifiers 2

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, and the practitioner matching its NPPES authorized official.

• Ariel Andre Waitzman, M.D.

  • Otolaryngology Physician
  • Dearborn, MI
  • NPI 1639149677
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1386819746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15212 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263497",
            "telephone_number": "313-582-8853",
            "fax_number": "313-582-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15212 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263497",
            "telephone_number": "313-582-8853",
            "fax_number": "313-582-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIEL WAITZMAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "WAITZMAN",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-582-8853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301071017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MI",
            "identifier": "0826005",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4329765",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magdalillian Arciero
• Frankju A Arevalo, M.D.
• Camilo Arguello
• Alison M Argye
• Ariel Waitzman MD PC
• Hira Arif, NP
• Pritika Arinana
• Steven M. Ariss Jr., M.D.
• Ark Cardiovascular & Arrhythmia Center PLC
• Ark Health LLC

• Otolaryngology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.