NPIMap

Organization Active NPI

Integrated Health Care Associates PC

Doing business as Integrated Health Care Associates

  • Family Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1861510968
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301081351 Issued in MI
Legal business name
INTEGRATED HEALTH CARE ASSOCIATES PC
Doing business as
Integrated Health Care Associates
Practice address
2300 Haggerty Rd
Suite 2140
West Bloomfield, MI 48323-2184
Phone
(248) 669-5050
Fax
(248) 669-1700
NPI assigned
Mar 27, 2007
Last updated
Apr 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Dr. Suzan Mokhayesh Syed, MDNPI 1992899827
Title
Co-President
Phone
(248) 669-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301081351 MI Primary
Internal Medicine Physician 207R00000X 4301076848 MI
Pediatrics Physician 208000000X 4301076848 MI

Addresses

Primary practice location

2300 Haggerty Rd
Suite 2140
West Bloomfield, MI 48323-2184

Mailing address

2300 Haggerty Rd
Suite 2140
West Bloomfield, MI 48323-2184
Phone (248) 669-5050

Other identifiers 1

IdentifierTypeStateIssuer
4675192MedicaidMI

Other names 1

  • Integrated Health Care Associates Doing business as

National Provider Directory

National Provider Directory

Locations

2300 Haggerty Rd
Ste 2
West Bloomfield, MI 48323
Phone (248) 313-5940

2300 Haggerty Rd
Ste 214
West Bloomfield, MI 48323

2300 Haggerty Rd
Ste 2140
West Bloomfield, MI 48323
Phone (248) 669-5050

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1861510968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2140",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-669-5050",
            "fax_number": "248-669-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2140",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-669-5050",
            "fax_number": "248-669-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH CARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "MOKHAYESH",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "248-669-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301081351",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076848",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301076848",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4675192",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Health Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.