Organization Active NPI

Munther Alaiwat, M.D. , P.C.

  • Obstetrics & Gynecology Physician
  • Southgate, MI
National Provider Identifier
1861688780
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA069255 Issued in MI
Legal business name
MUNTHER ALAIWAT, M.D. , P.C.
Practice address
15675 Northline Rd
Southgate, MI 48195-2334
Phone
(734) 282-3600
Fax
(734) 282-3603
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Munther Alaiwat, M.D.
Title
President
Phone
(734) 282-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MA069255 MI Primary

Addresses

Primary practice location

15675 Northline Rd
Southgate, MI 48195-2334

Mailing address

15675 Northline Rd
Southgate, MI 48195-2334
Phone (734) 282-3600

Other names 1

  • Northline Women's Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

15675 Northline Rd
Southgate, MI 48195
Phone (734) 282-3600

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1861688780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15675 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952334",
            "telephone_number": "734-282-3600",
            "fax_number": "734-282-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15675 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952334",
            "telephone_number": "734-282-3600",
            "fax_number": "734-282-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNTHER ALAIWAT, M.D. , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "ALAIWAT",
        "authorized_official_first_name": "MUNTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-282-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "MA069255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northline Women's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.