Organization Active NPI

Haddad Medical PC

  • Obstetrics & Gynecology Physician
  • Livonia, MI
National Provider Identifier
1679928717
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HADDAD MEDICAL PC
Practice address
37497 Bristol CT
Livonia, MI 48154-1260
Phone
(248) 219-3452
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Chadi Haddad, D.O.NPI 1750371621
Title
Owner
Phone
(248) 219-3452

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

37497 Bristol CT
Livonia, MI 48154-1260

Mailing address

37497 Bristol CT
Livonia, MI 48154-1260
Phone (248) 219-3452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190520002344 MI Part B Supplier - Clinic/Group Practice 8022351766 Receives reassigned benefits from 2 practitioners
Practice locations: Dearborn Heights, MI

National Provider Directory

National Provider Directory

Locations

6221 N Telegraph Rd
Dearborn Hts, MI 48127
Phone (313) 561-2200

Practitioners & affiliated clinicians

Practitioners 2

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": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1679928717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37497 BRISTOL CT",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541260",
            "telephone_number": "248-219-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37497 BRISTOL CT",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541260",
            "telephone_number": "248-219-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDAD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "CHADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-219-3452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.