Individual provider Active NPI

Eaman Alhaider, PA-C

  • Physician Assistant
  • Dearborn, MI
National Provider Identifier
1578948220
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007422 Issued in MI
Practice address
3053 Lindenwood Dr
Dearborn, MI 48120-1311
Phone
(313) 450-8998
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007422 MI Primary

Addresses

Primary practice location

3053 Lindenwood Dr
Dearborn, MI 48120-1311

Mailing address

3053 Lindenwood Dr
Dearborn, MI 48120-1311
Phone (313) 450-8998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151208002040 MI Practitioner - Physician Assistant 4981904372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sami Abu Farha MD PCGroup PAC ID 2264486372, 4 clinicians

Practice addresses (Care Compare)

5280 Oakman Blvd
Dearborn, MI 48126-4044
Phone (313) 846-1997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601007422MIMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1578948220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 LINDENWOOD DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201311",
            "telephone_number": "313-450-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 LINDENWOOD DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201311",
            "telephone_number": "313-450-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHAIDER",
        "first_name": "EAMAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.