Active NPI
Ear Nose Throat and Plastic Surgery Associates PC
- Otolaryngology Physician
- Grand Blanc, MI
National Provider Identifier
1811178684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- WR010496
- Legal business name
- EAR NOSE THROAT AND PLASTIC SURGERY ASSOCIATES PC
- Practice address
- 3455 Regency Park Dr
Grand Blanc, MI 48439-2559 - Phone
- (810) 694-0600
- Fax
- (810) 694-0601
- NPI assigned
- Nov 20, 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
- Dr. Steven C Reschak, DO
- Title
- Director
- Phone
- (810) 694-0600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | WR010496 | MI | Primary |
| Otolaryngology Physician | 207Y00000X | SM007572 | MI | |
| Otolaryngology Physician | 207Y00000X | SR014325 | MI | |
| Otolaryngology Physician | 207Y00000X | |||
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | |||
| Audiologist | 231H00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
3455 Regency Park Dr
Grand Blanc, MI 48439-2559
Mailing address
3455 Regency Park Dr
Grand Blanc, MI 48439-2559
Phone (810) 694-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040B515740 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3455 Regency Park Dr
Grand Blanc, MI 48439
Phone (810) 694-0600
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Grand Blanc, MI
- NPI 1356360614
-
- Audiologist
- Grand Blanc, MI
- NPI 1821736430
-
- Audiologist
- Grand Blanc, MI
- NPI 1568292621
-
- Facial Plastic Surgery Physician
- Grand Blanc, MI
- NPI 1538309711
-
- Otolaryngology/Facial Plastic Surgery Physician
- Grand Blanc, MI
- NPI 1285927244
-
- Audiologist
- Grand Blanc, MI
- NPI 1528596962
-
- Audiologist
- Ypsilanti, MI
- NPI 1972160752
-
- Audiologist
- Midland, MI
- NPI 1740770775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602028800000",
"number": "1811178684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 REGENCY PARK DR",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392559",
"telephone_number": "810-694-0600",
"fax_number": "810-694-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 REGENCY PARK DR",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392559",
"telephone_number": "810-694-0600",
"fax_number": "810-694-0601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAR NOSE THROAT AND PLASTIC SURGERY ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-20",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A",
"authorized_official_last_name": "RESCHAK",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "810-694-0600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MI",
"license": "WR010496",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MI",
"license": "SM007572",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MI",
"license": "SR014325",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "040B515740",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.