Active NPI
Michigan Surgical Associates PLLC
- Surgery Physician
- Wayne, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101017213
- Legal business name
- MICHIGAN SURGICAL ASSOCIATES PLLC
- Practice address
- 3106 S Wayne Rd
Wayne, MI 48184-1221 - Phone
- (734) 722-6300
- Fax
- (734) 722-4815
- NPI assigned
- Jun 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chadi H Faraj, D.O
- Title
- President
- Phone
- (313) 673-5997
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101017213 | MI | Primary |
Addresses
Primary practice location
3106 S Wayne Rd
Wayne, MI 48184-1221
Mailing address
7350 Horger St
Dearborn, MI 48126-1424
Phone (313) 673-5997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7910 Allen Rd
Ste 101
Allen Park, MI 48101
Phone (313) 436-4746
8338 Allen Rd
Ste 201
Allen Park, MI 48101
Phone (248) 852-1900
15750 Northline Rd
#H
Southgate, MI 48195
Phone (734) 722-6300
3106 S Wayne Rd
#H
Wayne, MI 48184
Phone (734) 722-6300
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Dearborn, MI
- NPI 1528261088
-
- Trauma Surgery Physician
- Allen Park, MI
- NPI 1831516277
-
- Surgery Physician
- Dearborn Heights, MI
- NPI 1174687370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372204800000",
"number": "1861832578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7350 HORGER ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261424",
"telephone_number": "313-673-5997",
"fax_number": "734-722-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3106 S WAYNE RD",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841221",
"telephone_number": "734-722-6300",
"fax_number": "734-722-4815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN SURGICAL ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-26",
"last_updated": "2013-06-26",
"status": "A",
"authorized_official_last_name": "FARAJ",
"authorized_official_first_name": "CHADI",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-673-5997",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MI",
"license": "5101017213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.