Beaumont Medical Group- Specialty Services

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES

Practice address

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Phone

(248) 898-5000

NPI assigned

Sep 28, 2017

Last updated

Apr 7, 2020By 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

Jonathan Scott Maner

Title

Sr. VP Beaumont Physician Partners

Phone

(947) 522-1912

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Beaumont Medical Group- Specialty Services

  • Urgent Care Clinic/Center
  • West Bloomfield, MI
  • NPI 1881105039

  O20180320002549

  Same enrollment

Locations (25 of 36)

Practitioners 1,397

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.

• Amr Abbas, M.D.

  • Interventional Cardiology Physician
  • Berkley, MI
  • NPI 1346290046
  Medicare reassignment Care Compare group NPD
• Marisa R Abbo, DO

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1184605388
  Medicare reassignment Care Compare group NPD
• Mohamed Abdallah

  • Gastroenterology Physician
  • Royal Oak, MI
  • NPI 1265966584
  Medicare reassignment Care Compare group NPD
• Mohammed Ali Abdelhalim, MBCHB

  • Infectious Disease Physician
  • Dearborn, MI
  • NPI 1679197305
  Medicare reassignment Care Compare group NPD
• John Abela

  • Surgical Physician Assistant
  • Clio, MI
  • NPI 1053066837
  Medicare reassignment Care Compare group NPD
• Ola Abol Hosn

  • Family Nurse Practitioner
  • West Bloomfield, MI
  • NPI 1619402203
  Medicare reassignment Care Compare group NPD
• Wassim Abouarabi, NP

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1861931941
  Medicare reassignment Care Compare group NPD
• Hussein Abu Daya, M.D.

  • Interventional Cardiology Physician
  • Trenton, MI
  • NPI 1144563792
  Medicare reassignment Care Compare group NPD
• William Brian Acker II, MD

  • Orthopaedic Surgery Physician
  • Southfield, MI
  • NPI 1487947362
  Medicare reassignment Care Compare group NPD
• Rebecca Lynn Acuna, P.A.

  • Physician Assistant
  • Royal Oak, MI
  • NPI 1194822775
  Medicare reassignment Care Compare group NPD
• Abdulgadir Khalifa Adam, M.D.

  • Pulmonary Disease Physician
  • Royal Oak, MI
  • NPI 1942493838
  Medicare reassignment Care Compare group NPD
• Matthew David Adams, MD

  • Pediatric Rheumatology Physician
  • Royal Oak, MI
  • NPI 1437197555
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1578072906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712",
            "telephone_number": "248-898-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "MANER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SR. VP BEAUMONT PHYSICIAN PARTNERS",
        "authorized_official_telephone_number": "947-522-1912"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaumont Health
• Beaumont Health
• Beaumont Health System
• Beaumont Health System
• Beaumont Medical Group Hospital -Based Services
• Beaumont Medical Group- Specialty Services
• Beaumont Medical Group-Primary Care Services
• Beaumont Orthopaedic Center
• Beaumont Special Radiological Procedures
• Beaumont Weight Control Center

• Surgery Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.