Southeast Hospitalists

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301029998 Issued in MI

Legal business name

SOUTHEAST HOSPITALISTS

Practice address

21230 Dequindre Rd
Warren, MI 48091-2279

Phone

(248) 535-0025

Fax

(248) 932-8977

NPI assigned

Apr 25, 2011

Organization subpart

No

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

Authorized official

Name

Elliotte Moss, MD

Title

Owner

Phone

(248) 535-0025

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1528359676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032224",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21230 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912279",
            "telephone_number": "248-535-0025",
            "fax_number": "248-932-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST HOSPITALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "ELLIOTTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-535-0025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301029998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Kassandra Soto, APRN, FNP-BC
• Stephanie Lily Soukar, MD
• Soulshine Home Care LLC
• South East Home Care LLC
• South Macomb Internists, P.C.
• Southeast Michigan Surgical Hospital LCC
• Southeast Michigan Surgical Hospital, LLC (Southeast Michigan Surgical Hospital)
• Southeast Michigan Surgical Hospital, LLC (Southeast Michigan Surgical Hospital)
• Southeast Michigan Surgical Hospital, LLC (Insight Surgical Hospital)
• Southeast Michigan Surgical Hospital, LLC

• Internal Medicine Physician in Warren, MI
• Providers in Warren, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.