Laith Potrous MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAITH POTROUS MD PLLC

Practice address

5843 17 Mile Rd
Sterling Heights, MI 48310-6873

Phone

(586) 549-7286

NPI assigned

Oct 18, 2021

Last updated

Jul 31, 2023By 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

Laith PotrousNPI 1487073615

Title

Owner

Phone

(586) 549-7286

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Laith Matti Potrous, MD

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1487073615

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Lena Talal Mansour, MD.

  • Internal Medicine Physician
  • Sterling Heights, MI
  • NPI 1780265249
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1861155772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5843 17 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106873",
            "telephone_number": "586-549-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5843 17 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106873",
            "telephone_number": "586-549-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAITH POTROUS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "POTROUS",
        "authorized_official_first_name": "LAITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-549-7286"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Lackman-Zeman, PHD
• Autumn Lacross
• Yvonne Lynn Lafave, FNP-BC
• Amy Laird, PTA
• Mandy Laird
• Lake City Pharmacy, LLC
• Micah Lake
• Lakeshore Ear Nose and Throat Center PC
• Lakeside Foot and Leg Care PLLC
• Lakeside Manor Nursing & Rehabilitation Center LLC

• Family Medicine Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.

Verify at the official NPI Registry.