Active NPI
Sinan Atmaca, M.D.
- Pediatric Otolaryngology Physician
- Southfield, MI
National Provider Identifier
1629300165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 4301086142
- Practice address
- 29120 Franklin Rd
Southfield, MI 48034-1105 - Phone
- (248) 351-7850
- Fax
- (348) 354-8378
- NPI assigned
- Feb 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 4301086142 | MI | Primary |
Addresses
Primary practice location
29120 Franklin Rd
Southfield, MI 48034-1105
Mailing address
3901 Beaubien St
3Rd Floor
Detroit, MI 48201-2119
Phone (313) 745-9048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-3490114 | Other | MI | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301086142 | MI | MD | Pediatric Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1629300165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN ST",
"address_2": "3RD FLOOR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012119",
"telephone_number": "313-745-9048",
"fax_number": "313-993-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29120 FRANKLIN RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341105",
"telephone_number": "248-351-7850",
"fax_number": "348-354-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATMACA",
"first_name": "SINAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "MI",
"license": "4301086142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "38-3490114",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.