NPIMap

Organization Active NPI

Flint Surgical Specialists, P.C.

  • Specialist
  • Flint, MI
National Provider Identifier
1538221973
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301034344 Issued in MI
Legal business name
FLINT SURGICAL SPECIALISTS, P.C.
Practice address
1020 Charter Dr
Suite a
Flint, MI 48532-3584
Phone
(810) 732-9288
Fax
(810) 732-2773
NPI assigned
Dec 14, 2006
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Abdelmajed Jondy, M.D.
Title
President
Phone
(810) 732-9288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301034344 MI Primary

Addresses

Primary practice location

1020 Charter Dr
Suite a
Flint, MI 48532-3584

Mailing address

1020 Charter Dr
Suite a
Flint, MI 48532-3584
Phone (810) 732-9288

Other identifiers 1

IdentifierTypeStateIssuer
020B511720OtherMIBLUE CROSS

National Provider Directory

National Provider Directory

Locations

5210 Lapeer Rd
Burton, MI 48509
Phone (810) 742-5230

G3560 Flushing Rd
Flint, MI 48504
Phone (810) 720-0368

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1538221973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CHARTER DR",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323584",
            "telephone_number": "810-732-9288",
            "fax_number": "810-732-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CHARTER DR",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323584",
            "telephone_number": "810-732-9288",
            "fax_number": "810-732-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT SURGICAL SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "JONDY",
        "authorized_official_first_name": "ABDELMAJED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-732-9288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301034344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "020B511720",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.