Premier Head and Neck Surgery PC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

Legal business name

PREMIER HEAD AND NECK SURGERY PC

Practice address

5040 Villa Linde Pkwy Ste a
Flint, MI 48532-3445

Phone

(810) 399-9931

Fax

(810) 382-2022

NPI assigned

May 9, 2023

Last updated

Apr 21, 2026By 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

Tamer Ghanem, MDNPI 1023185394

Title

Owner

Phone

(947) 957-8315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Tamer Ghanem, M.D.

  • Otolaryngology Physician
  • Flint, MI
  • NPI 1023185394

  Plastic Surgery Within the Head & Neck

  Medicare reassignment Care Compare group NPD Authorized official
• Rocio Patton, CF-SLP

  • Speech-Language Pathologist
  • Commerce Township, MI
  • NPI 1114177615
  Medicare reassignment Care Compare group NPD
• Ellen Marie Stair, PA-C

  • Physician Assistant
  • Flint, MI
  • NPI 1902494909
  Medicare reassignment Care Compare group
• Katelyn Young

  • Physician Assistant
  • Flint, MI
  • NPI 1780577536
  Medicare reassignment Care Compare group
• Alan Coston Jr., D.C.

  • Chiropractor
  • Mason, MI
  • NPI 1699194035
  NPD

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1578253167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5556 ORMOND RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483831261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 VILLA LINDE PKWY STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323445",
            "telephone_number": "810-399-9931",
            "fax_number": "810-382-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "G4007 W Court St Ste G2",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323560",
            "country_code": "US",
            "telephone_number": "810-399-9931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER HEAD AND NECK SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "TAMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "947-957-8315",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Candace Elizabeth Prentice

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Flint, MI
• Providers in Flint, MI by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.