Center for Weight Management

Primary specialty

SpecialistTaxonomy code 174400000X

License

VS080188 Issued in MI

Legal business name

CENTER FOR WEIGHT MANAGEMENT

Practice address

13355 E. Ten Mile Rd.
Suite CHM
Warren, MI 48089-2065

Phone

(586) 759-7457

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sally Jo Green, R.N., BSN

Title

Program Coordinator

Phone

(586) 759-7469

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Robert A Chang, MD

  • Internal Medicine Physician
  • Mount Clemens, MI
  • NPI 1093712093
  NPD (past)
• Ben Fajardo, M.D.

  • Internal Medicine Physician
  • Clinton TWP, MI
  • NPI 1518986801
  NPD (past)
• Peter A Kovalszki, MD

  • Specialist
  • Mount Clemens, MI
  • NPI 1114924248
  NPD (past)
• Victor Isip Sunga, M.D.

  • Family Medicine Physician
  • Tulare, CA
  • NPI 1932145315
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1841492709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13355 E. TEN MILE RD.",
            "address_2": "SUITE CHM",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892065",
            "telephone_number": "586-759-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13355 E. TEN MILE RD.",
            "address_2": "SUITE CHM",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892065",
            "telephone_number": "586-759-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WEIGHT MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "586-759-7469",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N., BSN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "VS080188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabina Causevic X, RN
• Desire Zane Causey
• Center for Physical Medicine & Rehabilitation PC
• Center for Physical Medicine and Rehabilitation PC
• Center for Physical Medicine and Rehabilitiation
• Century Multipurpose Services,LLC
• Angela N Cergnul, D.D.S.
• Mustafa Chahrour
• Chairat Chomchai M.D P.C
• Tweechard Chairatana, M.D.

• Specialist in Warren, MI
• Providers in Warren, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.