Organization Active NPI

Flint Emergent Surgical Services

  • Trauma Surgery Physician
  • Flint, MI
National Provider Identifier
1902390958
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
FLINT EMERGENT SURGICAL SERVICES
Practice address
1020 Charter Dr
Flint, MI 48532-3584
Phone
(810) 720-0366
NPI assigned
Jun 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Nadir Ijaz
Title
Biller
Phone
(810) 275-9371

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Trauma Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0127X Primary

Addresses

Primary practice location

1020 Charter Dr
Flint, MI 48532-3584

Mailing address

4800 S Saginaw St Ste 1800
Flint, MI 48507-2677
Phone (102) 759-3718

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1902390958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST STE 1800",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072677",
            "telephone_number": "102-759-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CHARTER DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323584",
            "telephone_number": "810-720-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT EMERGENT SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "IJAZ",
        "authorized_official_first_name": "NADIR",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "810-275-9371"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.