Summit Total Care PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SUMMIT TOTAL CARE PLLC

Practice address

55 N Pond Dr Ste 2
Walled Lake, MI 48390-3080

Phone

(248) 624-6633

Fax

(248) 624-0748

NPI assigned

Feb 12, 2016

Organization subpart

No

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

Authorized official

Name

Sahar HassaneNPI 1710463005

Title

Manager

Phone

(313) 844-0779

Specialties & licenses 2

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Summit Total Care PLLC

  • Family Medicine Physician
  • Oak Park, MI
  • NPI 1225564271
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sahar Hassane

  • Behavior Analyst
  • Lauderdale Lakes, FL
  • NPI 1710463005
  NPD Authorized official

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1700245271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 N. PONTIAC TRL # A",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903110",
            "telephone_number": "248-624-6633",
            "fax_number": "248-624-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N POND DR STE 2",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903080",
            "telephone_number": "248-624-6633",
            "fax_number": "248-624-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT TOTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "HASSANE",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-844-0779"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301102602",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjelica Sporer
• Square Root Endodontics
• Krystina Stanton, CASE MANAGEMENT
• Steven Z Hechtman, DDS, PC
• Dawn Stewart
• Susan a Maloney
• Susan H. Deutsch PLLC
• Rashmi Swamy, DMD
• Shelby Sweeney, PT, DPT
• Khaldoun M Tarabin, DDS

• Pediatrics Physician in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.