NPIMap

Organization Active NPI

Ariel Waitzman MD PC

  • Otolaryngology Physician
  • Dearborn, MI
National Provider Identifier
1841867355
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ARIEL WAITZMAN MD PC
Practice address
22731 Newman St Ste 120
Dearborn, MI 48124-2043
Phone
(313) 582-8853
Fax
(313) 582-6417
NPI assigned
Jun 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Ariel A Waitzman, MDNPI 1639149677
Title
Owner
Phone
(313) 582-8853

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

22731 Newman St Ste 120
Dearborn, MI 48124-2043

Mailing address

22731 Newman St Ste 120
Dearborn, MI 48124-2043
Phone (313) 582-8853

Other practice location 1

16801 Newburgh Rd Ste 106
Livonia, MI 48154-1606
Phone (734) 367-4603

Other names 1

  • Ariel A Waitzman MD PLLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dbnent.ema.md Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1841867355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22731 NEWMAN ST STE 120",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242043",
            "telephone_number": "313-582-8853",
            "fax_number": "313-582-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22731 NEWMAN ST STE 120",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242043",
            "telephone_number": "313-582-8853",
            "fax_number": "313-582-6417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16801 Newburgh Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541606",
            "country_code": "US",
            "telephone_number": "734-367-4603",
            "fax_number": "313-582-6417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIEL WAITZMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "WAITZMAN",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-582-8853",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dbnent.ema.md",
            "affiliation": "N",
            "endpointDescription": "dbnent.ema.md",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22731 Newman St Ste 120",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481242043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ariel A Waitzman MD PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.