Organization Active NPI

Nasser Sukhon,M.D,P.C

  • Primary Care Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1508977471
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
NS059178 Issued in MI
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nasser Nazem Sukhon, M.DNPI 1497753263
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4787967MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Naser N Sukhon MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.