Active NPI
Flint Emergent Surgical Services
- Trauma Surgery Physician
- Flint, MI
National Provider Identifier
1902390958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Trauma Surgery Physician | 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 DirectoryPractitioners & 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.