NPIMap

Organization Active NPI

Michigan Otolaryngology Surgery

  • Otolaryngology Physician
  • Ypsilanti, MI
National Provider Identifier
1407987688
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MICHIGAN OTOLARYNGOLOGY SURGERY
Practice address
5333 McAuley Dr.
Suite 2017
Ypsilanti, MI 48197-1014
Phone
(734) 434-3200
Fax
(734) 434-3209
NPI assigned
Mar 8, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Paul Hoff, MDNPI 1649301227
Title
President
Phone
(734) 434-3200

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
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

5333 McAuley Dr.
Suite 2017
Ypsilanti, MI 48197-1014

Mailing address

5333 McAuley Dr.
Suite 2017
Ypsilanti, MI 48197-1014
Phone (734) 434-3200

Other practice location 1

14555 LeVan Rd Ste 314
Livonia, MI 48154-5085
Phone (734) 434-3200

Other practice location 2

1020 E Michigan Ave Ste I
Saline, MI 48176-1525
Phone (734) 434-3200

Other practice location 3

14650 E Old US Highway 12
Chelsea, MI 48118-1801
Phone (734) 434-3200

Other practice location 4

1600 S Canton Center Rd Ste 340
Canton, MI 48188-6277
Phone (734) 434-3200

Other practice location 5

2305 Genoa Business Park Dr Ste 160
Brighton, MI 48114-7005
Phone (734) 434-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100408000026 MI Part B Supplier - Clinic/Group Practice 1759442627 Receives reassigned benefits from 35 practitioners
1 other NPI on this enrollment
Practice locations: Brighton, MI; Canton, MI; Chelsea, MI; Livonia, MI; Ypsilanti, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1600 S Canton Center Rd
Ste 340
Canton, MI 48188
Phone (734) 394-4400

1020 E Michigan Ave
Ste I
Saline, MI 48176
Phone (734) 434-3200

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407987688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR.",
            "address_2": "SUITE 2017",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971014",
            "telephone_number": "734-434-3200",
            "fax_number": "734-434-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR.",
            "address_2": "SUITE 2017",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971014",
            "telephone_number": "734-434-3200",
            "fax_number": "734-434-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14555 LeVan Rd Ste 314",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481545085",
            "country_code": "US",
            "telephone_number": "734-434-3200",
            "fax_number": "734-434-3209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 E Michigan Ave Ste I",
            "address_purpose": "LOCATION",
            "city": "Saline",
            "state": "MI",
            "postal_code": "481761525",
            "country_code": "US",
            "telephone_number": "734-434-3200",
            "fax_number": "734-434-3209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14650 E Old US Highway 12",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481181801",
            "country_code": "US",
            "telephone_number": "734-434-3200",
            "fax_number": "734-434-3209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 S Canton Center Rd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481886277",
            "country_code": "US",
            "telephone_number": "734-434-3200",
            "fax_number": "734-434-3209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 Genoa Business Park Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481147005",
            "country_code": "US",
            "telephone_number": "734-434-3200",
            "fax_number": "734-434-3209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN OTOLARYNGOLOGY SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOFF",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-434-3200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.