Organization Active NPI

Ladies Health Place PC

  • Obstetrics & Gynecology Physician
  • Livonia, MI
National Provider Identifier
1558645077
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301071291 Issued in MI
Legal business name
LADIES HEALTH PLACE PC
Practice address
20276 Middlebelt Rd
Suite 2
Livonia, MI 48152-2054
Phone
(248) 467-4900
NPI assigned
Oct 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Rita Sabbagh, MDNPI 1801995840
Title
Owner
Phone
(248) 467-4900

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
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 4301071291 MI Primary

Addresses

Primary practice location

20276 Middlebelt Rd
Suite 2
Livonia, MI 48152-2054

Mailing address

48641 Stoneridge Dr
Northville, MI 48168-8599
Phone (734) 414-0707

Other identifiers 1

IdentifierTypeStateIssuer
4301071291OtherMILICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070326000549 MI Part B Supplier - Clinic/Group Practice 8820192123 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Livonia, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

19920 Farmington Rd
Livonia, MI 48152
Phone (248) 442-2222

20276 Middlebelt Rd
Ste 2
Livonia, MI 48152
Phone (248) 476-4900

9229 Highland Rd
White Lake, MI 48386
Phone (248) 698-4000

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": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1558645077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48641 STONERIDGE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688599",
            "telephone_number": "734-414-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20276 MIDDLEBELT RD",
            "address_2": "SUITE 2",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522054",
            "telephone_number": "248-467-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADIES HEALTH PLACE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "SABBAGH",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-467-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301071291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "4301071291",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.