Schaefer Medical Center Dearborn PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301055729 Issued in MI

Legal business name

SCHAEFER MEDICAL CENTER DEARBORN PLC

Practice address

5245 Schaefer Rd
Suite a
Dearborn, MI 48126-3257

Phone

(313) 624-0000

Fax

(313) 624-0063

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Nesrene Ghani, MDNPI 1316998693

Title

Owner

Phone

(313) 624-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Nesrene A Ghani, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1316998693
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1790840379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 SCHAEFER RD",
            "address_2": "SUITE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263257",
            "telephone_number": "313-624-0000",
            "fax_number": "313-624-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 SCHAEFER RD",
            "address_2": "SUITE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263257",
            "telephone_number": "313-624-0000",
            "fax_number": "313-624-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAEFER MEDICAL CENTER DEARBORN PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "GHANI",
        "authorized_official_first_name": "NESRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-624-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301055729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301055729",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayoub Sayeg, MD
• Bilal Sayyid, RPH
• Kelly Scala, AT, ATC
• Susan J Scalisi, CRNA
• Kristyn Schaar
• Schaefer Medical Group P.C.
• Schaefer Medical Pharmacy Inc (Schaefer Medical Pharmacy)
• Schaefer Trudell (Trudell Pharmacy)
• Michael Frederick Schaldenbrand, MD
• Stephanie Marie Schave

• Internal Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.