Organization Active NPI

Integrated Healthcare-Medical PLLC

  • Podiatrist
  • Dearborn, MI
National Provider Identifier
1861825952
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
59010021116 Issued in MI
Legal business name
INTEGRATED HEALTHCARE-MEDICAL PLLC
Practice address
7243 Chase Rd
Dearborn, MI 48126-1301
Phone
(877) 682-2332
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Ali M Safiedine, D.P.M
Title
Doctor
Phone
(877) 682-2332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 5330001050 MI
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 59010021116 MI Primary

Addresses

Primary practice location

7243 Chase Rd
Dearborn, MI 48126-1301

Mailing address

7243 Chase Rd
Dearborn, MI 48126-1301

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1861825952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7243 CHASE RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7243 CHASE RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261301",
            "telephone_number": "877-682-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTHCARE-MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "SAFIEDINE",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "877-682-2332",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "5330001050",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "59010021116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 21, 2013; 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.