Organization Active NPI

Mark Hnatiuk MD PLC

Doing business as Craniofacial Institute of Michigan

  • Facial Plastic Surgery Physician
  • Dearborn, MI
National Provider Identifier
1619304490
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
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

Updated by the provider on Oct 14, 2013

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)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.