Organization Active NPI

Geoffey M Saham, M.D.P C

  • Cardiovascular Disease Physician
  • Troy, MI
National Provider Identifier
1649461492
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
GS063481 Issued in MI
Legal business name
GEOFFEY M SAHAM, M.D.P C
Practice address
115 E Long Lake Rd
Troy, MI 48085-5524
Phone
(248) 828-7500
NPI assigned
Aug 7, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Geoffrey M Saham, M DNPI 1609857598
Title
Ceo
Phone
(248) 828-7500

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X GS063481 MI Primary

Addresses

Primary practice location

115 E Long Lake Rd
Troy, MI 48085-5524

Mailing address

PO Box 966
Birmingham, MI 48012-0966
Phone (248) 828-7500

Other identifiers 2

IdentifierTypeStateIssuer
GS063481OtherMISTATE LICENSE
4529087MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1649461492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480120966",
            "telephone_number": "248-828-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855524",
            "telephone_number": "248-828-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFEY M SAHAM, M.D.P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "SAHAM",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-828-7500",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "GS063481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "GS063481",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4529087",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.