Michigan Comprehensive Fertility Center PLLC

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

DM007496 Issued in MI

Legal business name

MICHIGAN COMPREHENSIVE FERTILITY CENTER PLLC

Practice address

18181 Oakwood Blvd
Suite 109
Dearborn, MI 48124-5032

Phone

(313) 299-6650

Fax

(313) 299-6651

NPI assigned

Oct 18, 2006

Last updated

Jan 6, 2011By 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

David Magyar, DONPI 1043298466

Title

Director,Owner

Phone

(313) 299-6650

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.

• David M Magyar, DO

  • Reproductive Endocrinology Physician
  • Dearborn, MI
  • NPI 1043298466
  Authorized official Same address or phone

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1477634095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673739",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482673739",
            "telephone_number": "313-299-6650",
            "fax_number": "313-299-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD",
            "address_2": "SUITE 109",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245032",
            "telephone_number": "313-299-6650",
            "fax_number": "313-299-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN COMPREHENSIVE FERTILITY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "MAGYAR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR,OWNER",
        "authorized_official_telephone_number": "313-299-6650",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "DM007496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBCM",
            "identifier": "160H229510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Reproductive Endocrinology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Reproductive Endocrinology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.