Frederick L Lopatin DO PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

5101011463 Issued in MI

Legal business name

FREDERICK L LOPATIN DO PC

Practice address

15212 Michigan Ave
Dearborn, MI 48126-3497

Phone

(313) 582-8853

Fax

(313) 582-6417

NPI assigned

Apr 28, 2008

Last updated

Apr 28, 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. Frederick Louis Lopatin, DONPI 1659341691

Title

Physician

Phone

(313) 582-8853

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Frederick Louis Lopatin, D.O.

  • Otolaryngology Physician
  • Dearborn, MI
  • NPI 1659341691
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1477728848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15212 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263497",
            "telephone_number": "313-582-8853",
            "fax_number": "313-582-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15212 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263497",
            "telephone_number": "313-582-8853",
            "fax_number": "313-582-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK L LOPATIN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "LOPATIN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-582-8853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "5101011463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MI",
            "identifier": "5820553",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3496491",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Franklin, DDS
• Shania Franklin
• Shaquell Franks
• Hallie Marie Fraser
• Alyssa Nicole Frazier
• Michelle Frederick
• Amira Freeman
• Tracy A Freeman, PHARM.D.
• Annette Marie Frendo, ACNP
• Donald R. Frerichs, M.D.

• Otolaryngology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.