Active NPI
University Otolaryngology
- Audiologist
- Bloomfield Township, MI
National Provider Identifier
1720103112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H22557 | Other | MI | BCBSM GROUP NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- University Otolaryngology
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthodontics
- Detroit, MI
- NPI 1063537462
-
- Hearing Aid Equipment
- Southfield, MI
- NPI 1881858272
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.