Edgewood Center Otolaryngology, PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

HY055619 Issued in MI

Legal business name

EDGEWOOD CENTER OTOLARYNGOLOGY, PC

Practice address

8898 Commerce Rd Ste 1
Commerce TWP, MI 48382-4485

Phone

(248) 360-5881

Fax

(248) 360-5882

NPI assigned

Mar 1, 2007

Last updated

May 14, 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. Howard Mark Yerman, M.D.NPI 1457339038

Title

President

Phone

(248) 360-5881

Specialties & licenses 1

Addresses

Other identifiers 4

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.

• Howard M Yerman, MD

  • Otolaryngology Physician
  • Commerce Township, MI
  • NPI 1457339038
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1396873402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8898 COMMERCE RD STE 1",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824485",
            "telephone_number": "248-360-5881",
            "fax_number": "248-360-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8898 COMMERCE RD STE 1",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824485",
            "telephone_number": "248-360-5881",
            "fax_number": "248-360-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD CENTER OTOLARYNGOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "YERMAN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-360-5881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "HY055619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "P65910",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P65910",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0406389272",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3013138",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Commerce TWP, MI
• Providers in Commerce TWP, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.