Salta, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SALTA, PLLC

Practice address

585 South Blvd E Ste 100
Pontiac, MI 48341-3163

Phone

(248) 206-1200

Fax

(248) 206-1206

NPI assigned

Sep 21, 2016

Last updated

Apr 8, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

CLARKSTON LAKES FAMILY MEDICINEAs reported in NPPES

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

Authorized official

Name

Lauren Wilson

Title

Director of Human Resources

Phone

(248) 861-0010

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Clarkston Lakes Family

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Clarkston Lakes Family Medicine LLC

  • Family Medicine Physician
  • Clarkston, MI
  • NPI 1457359267
  NPPES parent name

Practitioners 6

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.

• John A Blanchard, MD

  • Family Medicine Physician
  • Troy, MI
  • NPI 1083613871
  NPD
• Keith W Christmon, MD

  • Family Medicine Physician
  • Troy, MI
  • NPI 1821096629
  NPD
• Lori A Washe, MD

  • Family Medicine Physician
  • Troy, MI
  • NPI 1811995616
  NPD
• Marcy A Klein, DO

  • Family Medicine Physician
  • Clarkston, MI
  • NPI 1730412677
  NPD (past)
• Rebecca Ann Reppuhn, P.A.-C.

  • Medical Physician Assistant
  • Pontiac, MI
  • NPI 1750578647
  NPD (past)
• Daniel Servito, FNP

  • Family Nurse Practitioner
  • Pontiac, MI
  • NPI 1215585005
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1588112387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843501",
            "telephone_number": "248-220-1560",
            "fax_number": "248-220-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 SOUTH BLVD E STE 100",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483413163",
            "telephone_number": "248-206-1200",
            "fax_number": "248-206-1206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6483 Citation Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483462994",
            "country_code": "US",
            "telephone_number": "248-861-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1627 W Big Beaver Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480843501",
            "country_code": "US",
            "telephone_number": "248-220-1560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SALTA, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARKSTON LAKES FAMILY MEDICINE",
        "enumeration_date": "2016-09-21",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIRECTOR OF HUMAN RESOURCES",
        "authorized_official_telephone_number": "248-861-0010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Sak
• Joseph Daniel Sakel
• Maria Salas
• Mara Salinas
• Fadi Salloum, MD
• Sanjyot Ujwal Salvi
• Shahzad Ahmed Sami, MD
• Syeda Daniya Samreen
• Maria Eugenia Sanchez
• Benjamin Sanderford, DO

• Family Medicine Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.