Advanced Sleep Disorder Center LLC

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

GA405226 Issued in MI

Legal business name

ADVANCED SLEEP DISORDER CENTER LLC

Practice address

5815 Bay Rd
Suite 600
Saginaw, MI 48604-2542

Phone

(989) 791-7860

Fax

(989) 791-7863

NPI assigned

Nov 30, 2006

Last updated

Aug 22, 2020By 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

Kenneth J Phillips

Title

Manager

Phone

(248) 851-1264

Specialties & licenses 1

Addresses

Other identifiers 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.

• Gavin I Awerbuch MD PLLC, MD

  • Neurology Physician
  • Saginaw, MI
  • NPI 1811984487
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447327580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250681",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480250681",
            "telephone_number": "248-851-1264",
            "fax_number": "248-851-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 BAY RD",
            "address_2": "SUITE 600",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042542",
            "telephone_number": "989-791-7860",
            "fax_number": "989-791-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SLEEP DISORDER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-851-1264"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MI",
            "license": "GA405226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4777067",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Anesthesia Associates, PLLC
• Advanced Diagnostic Imaging Interventional & Vascular Center
• Advanced Diagnostic Imaging PC
• Advanced First State Medical Practice PLLC
• Advanced Hospice Care LLC
• Bassam Ahmad Afaneh, MD
• Rosario Gumban Afante, PT
• Macksood Ahmad Aftab, D.O.
• Douglass T Agoabin, PHARMD
• Amanda C Aguilar I

• Sleep Medicine (Psychiatry & Neurology) Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.