Active NPI
Mark Hnatiuk MD PLC
Doing business as Craniofacial Institute of Michigan
- Facial Plastic Surgery Physician
- Dearborn, MI
National Provider Identifier
1619304490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- Legal business name
- MARK HNATIUK MD PLC
- Doing business as
- Craniofacial Institute of Michigan
- Practice address
- 15120 Michigan Ave
Dearborn, MI 48126-2916 - Phone
- (734) 812-7415
- Fax
- (734) 212-2125
- NPI assigned
- Oct 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Hnatiuk, M.D.
- Title
- M.D./Owner
- Phone
- (734) 812-7415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | Primary |
Addresses
Primary practice location
15120 Michigan Ave
Dearborn, MI 48126-2916
Mailing address
15120 Michigan Ave
Dearborn, MI 48126-2916
Phone (734) 812-7415
Other names 1
- CRANIOFACIAL INSTITUTE OF MICHIGAN
National Provider Directory
National Provider DirectoryLocations
36975 Utica Rd
Ste 106
Clinton Twp, MI 48036
Phone (586) 226-2801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381708800000",
"number": "1619304490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15120 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262916",
"telephone_number": "734-812-7415",
"fax_number": "734-212-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15120 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262916",
"telephone_number": "734-812-7415",
"fax_number": "734-212-2125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK HNATIUK MD PLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-11",
"last_updated": "2013-10-14",
"status": "A",
"authorized_official_last_name": "HNATIUK",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "M.D./OWNER",
"authorized_official_telephone_number": "734-812-7415",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CRANIOFACIAL INSTITUTE OF MICHIGAN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.