Sleep Apnea Specialty Center

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

SLEEP APNEA SPECIALTY CENTER

Doing business as

Sleep Apnea Specialty Center - Riverview, LLC

Practice address

14031 Pennsylvania Rd
Suite a
Riverview, MI 48193-7508

Phone

(734) 285-4145

Fax

(734) 285-4451

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Ravinder Gandhi, MD

Title

Authorized Signer

Phone

(734) 285-4145

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sleep Apnea Specialty Center - Riverview, LLC Doing business as

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1801966080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14031 PENNSYLVANIA RD",
            "address_2": "SUITE A",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937508",
            "telephone_number": "734-285-4145",
            "fax_number": "734-285-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14031 PENNSYLVANIA RD",
            "address_2": "SUITE A",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937508",
            "telephone_number": "734-285-4145",
            "fax_number": "734-285-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP APNEA SPECIALTY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "734-285-4145",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104947407",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "290H229410",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Apnea Specialty Center - Riverview, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristine V Sherwood, RPH
• Joseph Anthony Shusteric, D.C.
• Simpson Holzworth
• Patricia D Sims-Brown, LPC-S
• Margaret Ann Skaggs
• Paula A Sryniawski, PTA
• Alissa Marie Stanley
• Steven J. Serra, D.O., P.C.
• Justin Blake Streefkerk, PT, DPT
• Hannah Struk, BCBA

• Sleep Medicine (Internal Medicine) Physician in Riverview, MI
• Providers in Riverview, MI by specialty
• Sleep Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.