Summit Oral & Maxillofacial Surgery PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SUMMIT ORAL & MAXILLOFACIAL SURGERY PC

Practice address

29427 Ryan Rd
Warren, MI 48092-2203

Phone

(586) 755-9340

Fax

(586) 755-9341

NPI assigned

Nov 8, 2006

Last updated

Sep 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jane M Windisch

Title

Billing Specialist

Phone

(586) 755-9340

Specialties & licenses 1

Addresses

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 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Scott Coviak, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Warren, MI
  • NPI 1164829438
  Medicare reassignment Care Compare group NPD
• Nicolette Diane Essian, DMD

  • Oral and Maxillofacial Pathology Dentistry
  • Warren, MI
  • NPI 1184240640
  Medicare reassignment Care Compare group NPD
• Arshi S Lehal, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Warren, MI
  • NPI 1720341886

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Claude Charles Lerose Jr., D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Grosse Pointe Woods, MI
  • NPI 1831536861
  Medicare reassignment Care Compare group NPD
• Rosolino Vincent Sclafani, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Washington, MI
  • NPI 1467663294
  Medicare reassignment Care Compare group NPD
• John Mason Hackenberger, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Warren, MI
  • NPI 1790730406
  Medicare reassignment Care Compare group
• Michael Bartholomew Kraemer, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Warren, MI
  • NPI 1366480238
  Medicare reassignment Care Compare group
• Gregory James Thomas, DDS, MS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Warren, MI
  • NPI 1912947227
  Medicare reassignment
• Jeffrey S. Cohen, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • West Bloomfield, MI
  • NPI 1073585022
  NPD (past)
• Matt Demerle

  • Oral and Maxillofacial Surgery (Dentist)
  • Warren, MI
  • NPI 1285172213
  NPD (past)
• Jeffrey Collier Knorr, DDS, MSBA

  • Oral and Maxillofacial Surgery (Dentist)
  • New Baltimore, MI
  • NPI 1881687283
  NPD (past)
• Zenon John Kossak, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Grosse Pointe Farms, MI
  • NPI 1073565164
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1811066129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29425 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922203",
            "telephone_number": "586-755-9340",
            "fax_number": "586-755-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29427 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922203",
            "telephone_number": "586-755-9340",
            "fax_number": "586-755-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ORAL & MAXILLOFACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "WINDISCH",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "586-755-9340",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Sullivan, OTRL
• Thomas S. Sullivan, M.S., R.PH., BCNSP
• Sultan Home Care LLC (sul)
• Marilynn Sultana-Gallick, M.D.
• Kyle Alexander Suminski, PT
• Irene Judith Sun, FNP, CRNA
• Sunny Medical Equipment Inc
• Sunrise Dental Center
• Sunrise Home Health Care Inc
• Sunshine Dental Center PC

• Oral and Maxillofacial Surgery (Dentist) in Warren, MI
• Providers in Warren, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.