Michigan Institute of Sleep Disorders PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MICHIGAN INSTITUTE OF SLEEP DISORDERS PLLC

Practice address

7108 Autumn Hill Dr
West Bloomfield, MI 48323-3904

Phone

(248) 885-3945

NPI assigned

Jun 10, 2019

Last updated

Jan 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Usama Assaad, MD

Title

Ceo

Phone

(248) 885-3945

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1649839945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 AUTUMN HILL DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233904",
            "telephone_number": "248-885-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 AUTUMN HILL DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233904",
            "telephone_number": "248-885-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INSTITUTE OF SLEEP DISORDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "ASSAAD",
        "authorized_official_first_name": "USAMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-885-3945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "misdpllc@gmail.com",
            "affiliation": "N",
            "address_1": "7108 Autumn Hill Dr",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483233904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Medical Specialty Clinic/Center in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.