Active NPI
Mushienesh Health Services
- Clinic/Center
- Dearborn, MI
National Provider Identifier
1649978818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MUSHIENESH HEALTH SERVICES
- Practice address
- 455 S York St
Dearborn, MI 48124-1459 - Phone
- (313) 409-1441
- NPI assigned
- Feb 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wasfeh Musheinesh, MD
- Title
- Owner
- Phone
- (313) 515-6507
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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X | |||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
455 S York St
Dearborn, MI 48124-1459
Mailing address
455 S York St
Dearborn, MI 48124-1459
Other practice location 1
1361 Royal Palm Square Blvd Ste 4
Fort Myers, FL 33919-1001
Phone (313) 515-6507
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Dearborn, MI
- NPI 1164785325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703030400000",
"number": "1649978818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S YORK ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S YORK ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241459",
"telephone_number": "313-409-1441"
}
],
"practiceLocations": [
{
"address_1": "1361 Royal Palm Square Blvd Ste 4",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339191001",
"country_code": "US",
"telephone_number": "313-515-6507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MUSHIENESH HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-17",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A",
"authorized_official_last_name": "MUSHEINESH",
"authorized_official_first_name": "WASFEH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-515-6507",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.