Organization Active NPI

Cynthia R Aks DO PC

  • Surgery Physician
  • Southgate, MI
National Provider Identifier
1649355801
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
CA009351 Issued in MI
Legal business name
CYNTHIA R AKS DO PC
Doing business as
Downriver Comprehensive Breast Center
Practice address
13383 Reeck Rd
Southgate, MI 48195-3054
Phone
(734) 285-8144
Fax
(734) 285-8104
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Dr. Cynthia R Aks, DONPI 1164412656
Title
President
Phone
(734) 285-8144

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X CA009351 MI Primary

Addresses

Primary practice location

13383 Reeck Rd
Southgate, MI 48195-3054

Mailing address

13383 Reeck CT
Southgate, MI 48195-3054
Phone (734) 285-8144

Other identifiers 7

IdentifierTypeStateIssuer
134360OtherMICARE CHOICES
0258213724OtherMIBCBS
14797OtherMIMCARE
020044482OtherMIRAILROAD MEDICARE
4124481MedicaidMI
020H232520OtherMIBCBSM
E83433OtherMIHAP

Other names 1

  • Downriver Comprehensive Breast Center Doing business as

National Provider Directory

National Provider Directory

Locations

47601 Grand River Ave
Ste A115
Novi, MI 48374
Phone (248) 380-8270

13383 Reeck Ct
Southgate, MI 48195
Phone (734) 250-7277

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1649355801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13383 REECK CT",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953054",
            "telephone_number": "734-285-8144",
            "fax_number": "734-285-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13383 REECK RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953054",
            "telephone_number": "734-285-8144",
            "fax_number": "734-285-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA R AKS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "AKS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-285-8144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "CA009351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "134360",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0258213724",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "14797",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020044482",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4124481",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "020H232520",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "E83433",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downriver Comprehensive Breast Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.