Organization Active NPI

Shapoor S Ansari PC

  • Surgery Physician
  • Monroe, MI
National Provider Identifier
1699004945
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SHAPOOR S ANSARI PC
Practice address
2590 N Monroe St
Monroe, MI 48162-4206
Phone
(734) 243-4000
Fax
(734) 243-4003
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Dr. Shapoor S Ansari, M.D
Title
M.D
Phone
(734) 243-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2590 N Monroe St
Monroe, MI 48162-4206

Mailing address

2590 North Monroe St
Monroe, MI 48162-4206

National Provider Directory

National Provider Directory

Locations

2590 N Monroe St
Monroe, MI 48162
Phone (734) 243-4000

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1699004945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 NORTH MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624206",
            "fax_number": "734-243-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624206",
            "telephone_number": "734-243-4000",
            "fax_number": "734-243-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPOOR S ANSARI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "SHAPOOR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "734-243-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.