Active NPI
Nasser Sukhon,M.D,P.C
- Primary Care Clinic/Center
- Ann Arbor, MI
National Provider Identifier
1508977471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- NS059178
- Legal business name
- NASSER SUKHON,M.D,P.C
- Practice address
- 3055 Plymouth Rd Ste 107
Ann Arbor, MI 48105-3222 - Phone
- (734) 761-2900
- Fax
- (734) 761-5283
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nasser Nazem Sukhon, M.D
- Title
- President
- Phone
- (734) 761-2900
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NS059178 | MI | Primary |
Addresses
Primary practice location
3055 Plymouth Rd Ste 107
Ann Arbor, MI 48105-3222
Mailing address
3055 Plymouth Rd Ste 107
Ann Arbor, MI 48105-3222
Phone (734) 761-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4787967 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Naser N Sukhon MD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1598938870
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1497753263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508977471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3055 PLYMOUTH RD STE 107",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481053222",
"telephone_number": "734-761-2900",
"fax_number": "734-761-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3055 PLYMOUTH RD STE 107",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481053222",
"telephone_number": "734-761-2900",
"fax_number": "734-761-5283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASSER SUKHON,M.D,P.C",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SUKHON",
"authorized_official_first_name": "NASSER",
"authorized_official_middle_name": "NAZEM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-761-2900",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MI",
"license": "NS059178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4787967",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- 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.