Detroit Surgical Specialist, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

AN066667 Issued in MI

Legal business name

DETROIT SURGICAL SPECIALIST, P.C.

Practice address

135 S Prospect St
Ypsilanti, MI 48198-7914

Phone

(734) 547-4900

Fax

(734) 547-4901

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andre R Nunn, M.D.NPI 1447351655

Title

President

Phone

(313) 547-4900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Andre R Nunn, M.D.

  • Surgery Physician
  • Ypsilanti, MI
  • NPI 1447351655
  Authorized official Same address or phone

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1871694083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S PROSPECT ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481987914",
            "telephone_number": "734-547-4900",
            "fax_number": "734-547-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S PROSPECT ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481987914",
            "telephone_number": "734-547-4900",
            "fax_number": "734-547-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT SURGICAL SPECIALIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-547-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "AN066667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Denzin, MD
• John P Depp, LBSW
• Katherine Wilson Derue, MD
• Payal P Desai
• Randal P Desrochers, MD
• Abby Devich
• Michael Dewall, DO
• Nimo Dhagane
• Inderdeep Dhaliwal
• Reba Dhillon, DO

• Specialist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.