Sports Medicine Associates, PLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

SR056808 Issued in MI

Legal business name

SPORTS MEDICINE ASSOCIATES, PLC

Practice address

37000 Woodward Ave
Suite 300
Bloomfield Hills, MI 48304-0922

Phone

(248) 952-9200

Fax

(248) 952-9201

NPI assigned

Jun 19, 2006

Last updated

Nov 1, 2013By 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

Sami F Rifat, M.D.

Title

Member

Phone

(248) 952-9200

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1609811918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37000 WOODWARD AVE",
            "address_2": "SUITE 300",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040922",
            "telephone_number": "248-952-9200",
            "fax_number": "248-952-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37000 WOODWARD AVE",
            "address_2": "SUITE 300",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040922",
            "telephone_number": "248-952-9200",
            "fax_number": "248-952-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE ASSOCIATES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "RIFAT",
        "authorized_official_first_name": "SAMI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-952-9200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "SR056808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "080F316700",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK, RIFAT",
            "identifier": "P85088",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES, MOELLE",
            "identifier": "131746",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "698099",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK, MOELLE",
            "identifier": "P105321",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES, RIFAT",
            "identifier": "109591",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Family Medicine) Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Sports Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.