Organization Active NPI

Medquan Sports Medicine PC

  • Sports Medicine (Family Medicine) Physician
  • Brighton, MI
National Provider Identifier
1609916469
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
MEDQUAN SPORTS MEDICINE PC
Practice address
110 E Main St
Brighton, MI 48116-1587
Phone
(810) 220-8669
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Debi Siljander, MDNPI 1366582736
Title
President
Phone
(810) 220-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

110 E Main St
Brighton, MI 48116-1587

Mailing address

110 E Main St
Brighton, MI 48116-1587
Phone (810) 220-8669

National Provider Directory

National Provider Directory

Locations

110 E Main St
Brighton, MI 48116
Phone (810) 220-8600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609916469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161587",
            "telephone_number": "810-220-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161587",
            "telephone_number": "810-220-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDQUAN SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SILJANDER",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-220-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.