NPIMap

Organization Active NPI

Miro-Farmington Hills

  • Radiation Oncology Physician
  • Farmington Hills, MI
National Provider Identifier
1720053218
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
MIRO-FARMINGTON HILLS
Practice address
28595 Orchard Lake Rd
Suite 110
Farmington Hills, MI 48334-2977
Phone
(248) 553-0606
Fax
(248) 553-7674
NPI assigned
Feb 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Farideh R. Bagne, PH.D., J.D.
Title
Ceo
Phone
(248) 338-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

28595 Orchard Lake Rd
Suite 110
Farmington Hills, MI 48334-2977

Mailing address

70 Fulton St
Pontiac, MI 48341-2755
Phone (248) 338-0300

Other names 1

  • American Oncologic Associates of Michigan, PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
American Oncologic Associates of Michigan PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720053218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 FULTON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412755",
            "telephone_number": "248-338-0300",
            "fax_number": "248-338-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28595 ORCHARD LAKE RD",
            "address_2": "SUITE 110",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342977",
            "telephone_number": "248-553-0606",
            "fax_number": "248-553-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRO-FARMINGTON HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAGNE",
        "authorized_official_first_name": "FARIDEH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-338-0300",
        "authorized_official_credential": "PH.D., J.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Oncologic Associates of Michigan, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.