Organization Active NPI

University Otolaryngology

  • Audiologist
  • Bloomfield Township, MI
National Provider Identifier
1720103112
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
UNIVERSITY OTOLARYNGOLOGY
Practice address
43494 Woodward Ave
Suite 210
Bloomfield Township, MI 48302-5052
Phone
(248) 335-9800
NPI assigned
Mar 21, 2007
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
Sharon Branka
Title
Coordinator
Phone
(313) 745-1740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

43494 Woodward Ave
Suite 210
Bloomfield Township, MI 48302-5052

Mailing address

3800 Woodward Ave
Suite 600
Detroit, MI 48201-2061

Other identifiers 1

IdentifierTypeStateIssuer
0H22557OtherMIBCBSM GROUP NUMBER

National Provider Directory

National Provider Directory
Tax ID family
University Otolaryngology3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720103112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WOODWARD AVE",
            "address_2": "SUITE 600",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE",
            "address_2": "SUITE 210",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483025052",
            "telephone_number": "248-335-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OTOLARYNGOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANKA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "313-745-1740"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "0H22557",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Township, 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.