Ormc Anesthesiologist

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ORMC ANESTHESIOLOGIST

Practice address

22401 Foster Winter Dr
Southfield, MI 48075-3724

Phone

(248) 423-5151

Fax

(517) 787-4146

NPI assigned

Apr 4, 2011

Organization subpart

No

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

Authorized official

Name

Samir F. Fuleihan, MD

Title

Authorized Representative

Phone

(313) 993-0822

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1417246133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1123",
            "address_2": "255 WEST MICHIGAN AVENUE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492041123",
            "telephone_number": "800-516-5315",
            "fax_number": "517-787-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22401 FOSTER WINTER DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753724",
            "telephone_number": "248-423-5151",
            "fax_number": "517-787-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORMC ANESTHESIOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "FULEIHAN",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "313-993-0822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Southfield, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.