Organization Active NPI

Tamer Massarani M.D P.C

  • Pediatrics Physician
  • Troy, MI
National Provider Identifier
1801053418
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TAMER MASSARANI M.D P.C
Practice address
1579 W Big Beaver Rd
B-5
Troy, MI 48084-3504
Phone
(248) 614-0124
Fax
(248) 614-0126
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Tamer Massarani, M.D
Title
President
Phone
(248) 614-0124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MI Primary

Addresses

Primary practice location

1579 W Big Beaver Rd
B-5
Troy, MI 48084-3504

Mailing address

1579 W Big Beaver Rd
B-5
Troy, MI 48084-3504
Phone (248) 614-0124

Other identifiers 1

IdentifierTypeStateIssuer
3506315481OtherMIBCN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1801053418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 W BIG BEAVER RD",
            "address_2": "B-5",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843504",
            "telephone_number": "248-614-0124",
            "fax_number": "248-614-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 W BIG BEAVER RD",
            "address_2": "B-5",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843504",
            "telephone_number": "248-614-0124",
            "fax_number": "248-614-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMER MASSARANI M.D P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MASSARANI",
        "authorized_official_first_name": "TAMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-614-0124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "3506315481",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.