Beaumont Medical Group- Specialty Services
Organization Active NPI Surgery Physician · Royal Oak, MI
NPI 1578072906 · NPPES record last updated Apr 7, 2020
Key facts
- NPI
- 1578072906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 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
- Organization subpart
- No
Authorized official
- Name
- Jonathan Scott Maner
- Title
- Sr. VP Beaumont Physician Partners
- Phone
- (947) 522-1912
Other NPIs on the same Medicare enrollment 1
Practitioners 1,381
-
Amr Abbas, M.D.
-
Marisa R Abbo, DO
-
Mohammed Ali Abdelhalim, MBCHB
-
Wassim Abouarabi, NP
-
Hussein Abu Daya, M.D.
-
Abdulgadir Khalifa Adam, M.D.
-
Adewunmi Adeyemo, MD
-
Sarwat Ahmad, MD
-
Salim Haji Ahmed, MD
-
Hyunyoung Ahn, M.D.
-
Steven C Ajluni, MD
-
Sami Akkary, M.D
-
Hazim Al-Ameri, M.D.
-
Muhammad Umair Alam, D.O.
-
Emad Alatassi, M.D.
-
Lavonne L Alexander, FNP-BC
-
Olivia Allen, DO
-
Samuel A Allen, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180320002549 | MI | Part B Supplier - Clinic/Group Practice | 7214299866 |
Receives reassigned benefits from 1,292 practitioners 1 other NPI on this enrollment |
National Provider Directory
Locations (25 of 34)
1949 W 12 Mile Rd
Ste Ll
Berkley, MI 48072
Phone (248) 551-0497
6300 N Haggerty Rd
Ste 100
Canton, MI 48187
Phone (734) 738-1900
7300 N Canton Center Rd
Ste 111
Canton, MI 48187
Phone (734) 454-8001
6770 Dixie Hwy
Ste 310
Clarkston, MI 48346
Phone (947) 524-4900
4700 Schaefer Rd
Ste 260
Dearborn, MI 48126
Phone (313) 583-5400
18200 Oakwood Blvd
#19
Dearborn, MI 48124
Phone (313) 996-7267
28100 Grand River Ave
Ste 314
Farmington Hills, MI 48336
Phone (248) 471-1549
28080 Grand River Ave
Ste 306N
Farmington Hills, MI 48336
Phone (947) 521-4771
16815 E Jefferson Ave
Ste 240
Grosse Pointe, MI 48230
Phone (313) 473-4690
468 Cadieux Rd
Fl 2
Grosse Pointe, MI 48230
Phone (313) 473-6900
16815 E Jefferson Ave
Ste 120
Grosse Pointe Shores, MI 48230
Phone (586) 498-4400
3535 W 13 Mile Rd
Ste 644
Royal Oak, MI 48073
Phone (248) 551-1010
3577 W 13 Mile Rd
Ste 202A
Royal Oak, MI 48073
Phone (248) 551-0669
3555 W 13 Mile Rd
Ste N120
Royal Oak, MI 48073
Phone (248) 551-1550
3535 W 13 Mile Rd
Ste 302
Royal Oak, MI 48073
Phone (248) 551-0487
3577 W 13 Mile Rd
Ste 402
Royal Oak, MI 48073
Phone (248) 551-9910
3535 W 13 Mile Rd
Ste 507
Royal Oak, MI 48073
Phone (248) 551-0497
3577 W 13 Mile Rd
Ste 101
Royal Oak, MI 48073
Phone (248) 551-0360
3555 W 13 Mile Rd
Ste N120A
Royal Oak, MI 48073
Phone (248) 551-0487
3601 W 13 Mile Rd
Ste Bcc
Royal Oak, MI 48073
Phone (248) 551-3300
3601 W 13 Mile Rd
#2S
Royal Oak, MI 48073
Phone (248) 898-0190
3581 W 13 Mile Rd
Ste Bcc
Royal Oak, MI 48073
Phone (248) 551-3300
3581 W 13 Mile Rd
Ste Ll
Royal Oak, MI 48073
Phone (248) 551-6689
3535 W 13 Mile Rd
Ste 707
Royal Oak, MI 48073
Phone (248) 551-0487
3571 W 13 Mile Rd
Fl 2
Royal Oak, MI 48073
Phone (248) 551-0360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other providers in Royal Oak, MI
- 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
All providers in Royal Oak, MI · Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.