B and S Service Corp PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

RB007073 Issued in MI

Legal business name

B AND S SERVICE CORP PC

Doing business as

D.B.A. Oakland Surgical Associates

Practice address

39500 W. 10 Mile Road
Suite 105
Novi, MI 48375-2947

Phone

(248) 478-7733

Fax

(248) 478-3533

NPI assigned

Apr 6, 2011

Last updated

May 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert I Boorstein, DO

Title

President

Phone

(248) 478-7733

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• D.B.A. Oakland Surgical Associates Doing business as

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1538458930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39500 W. 10 MILE ROAD",
            "address_2": "SUITE 105",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752947",
            "telephone_number": "248-478-7733",
            "fax_number": "248-478-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 W. 10 MILE ROAD",
            "address_2": "SUITE 105",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752947",
            "telephone_number": "248-478-7733",
            "fax_number": "248-478-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B AND S SERVICE CORP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "BOORSTEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-478-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "RB007073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1767737-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D.B.A. Oakland Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maleehah Azom
• Hussein Azzam, MD
• Lara Azzi, MD
• Ashley Azzo
• Mark Anthony Azzopardi, DDS
• Latramese Monique Baber
• Mikayla Bable
• Jessica Baca
• Kylee Baca
• Aaron Bachman, PTA

• Surgery Physician in Novi, MI
• Providers in Novi, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.