East Village Medical Center PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

EAST VILLAGE MEDICAL CENTER PC

Practice address

5728 Schaefer Rd
Suite 100
Dearborn, MI 48126-2298

Phone

(313) 624-3000

Fax

(313) 846-4087

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Martina Lenora Abrams-Alderman

Title

Office Manager

Phone

(313) 624-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Jouhaina Maleh, M.D.

  • Obstetrics & Gynecology Physician
  • Dearborn, MI
  • NPI 1356342596
  Medicare reassignment NPD
• Zahra Assad, FNP

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1922940386
  NPD (past)
• Ghenoi Yasin

  • Physician Assistant
  • Dearborn, MI
  • NPI 1326421967
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1518057330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 SCHAEFER RD",
            "address_2": "SUITE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262298",
            "telephone_number": "313-624-2000",
            "fax_number": "313-846-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 SCHAEFER RD",
            "address_2": "SUITE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262298",
            "telephone_number": "313-624-3000",
            "fax_number": "313-846-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VILLAGE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "ABRAMS-ALDERMAN",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_middle_name": "LENORA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-624-3000"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4157544",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew George Easow
• East Dearborn Dialysis LLC
• East Dearborn Medical Center PC
• East Dearborn Medical Clinic PC
• East Dearborn Urgent Care PC
• East Village Pharmay Inc
• Eastborn Clinic PLLC
• Eastborn Medical Group PC
• Eastborn RX Pharmacy LLC
• Easterseals Morc Health Care, Inc.

• Obstetrics & Gynecology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.