Crescent Procedure Center PLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CRESCENT PROCEDURE CENTER PLC

Practice address

30671 Stephenson Hwy Ste a
Madison Heights, MI 48071-1635

Phone

(586) 445-9900

NPI assigned

Jul 31, 2019

Organization subpart

No

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

Authorized official

Name

Nabil Beydoun

Title

Member

Phone

(313) 414-8673

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1598319147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30671 STEPHENSON HWY STE A",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711635",
            "telephone_number": "586-445-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30671 STEPHENSON HWY STE A",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711635",
            "telephone_number": "586-445-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT PROCEDURE CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-414-8673"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.