Organization Active NPI

Serge a. Sorser, M.D., P.L.L.C.

  • Gastroenterology Physician
  • Novi, MI
National Provider Identifier
1629455423
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301090772 Issued in MI
Legal business name
SERGE A. SORSER, M.D., P.L.L.C.
Practice address
26850 Providence Pkwy
Suite 350
Novi, MI 48374-1213
Phone
(248) 662-4110
Fax
(248) 662-4120
NPI assigned
Apr 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Serge A Sorser, M.D., P.L.L.C.
Title
Owner
Phone
(248) 662-4110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 4301090772 MI Primary

Addresses

Primary practice location

26850 Providence Pkwy
Suite 350
Novi, MI 48374-1213

Mailing address

26850 Providence Pkwy
Suite 350
Novi, MI 48374-1213
Phone (248) 662-4110

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1629455423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 350",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-662-4110",
            "fax_number": "248-662-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 350",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-662-4110",
            "fax_number": "248-662-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGE A. SORSER, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "SORSER",
        "authorized_official_first_name": "SERGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-662-4110",
        "authorized_official_credential": "M.D., P.L.L.C."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301090772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.