Ethan Abraham Sagher, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4301503777 Issued in MI

Practice address

42452 Hayes Rd Ste 3
Clinton Township, MI 48038-6771

Phone

(862) 633-1305

Fax

(586) 263-5183

NPI assigned

Jun 9, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Michigan Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Phototherapy Center of Brighton PLCGroup PAC ID 7618114695, 9 clinicians

Dermatology Specialists of Ann Arbor PLLCGroup PAC ID 9830574672, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ethan.sagher@forefrontdermatology.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology Specialists of Ann Arbor, PLLC

  • Dermatology Physician
  • Ann Arbor, MI
  • NPI 1689306680
  Medicare reassignment Care Compare group NPD
• Dermatology & Phototherapy Center of Brighton, PLC

  • Dermatology Physician
  • Brighton, MI
  • NPI 1659624591
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Mercy Hospital

  dba Trinity Heath Ann Arbor Hospital

  • General Acute Care Hospital
  • Ypsilanti, MI
  • NPI 1780658443
  Care Compare affiliation

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1912436106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42452 HAYES RD STE 3",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386771",
            "telephone_number": "862-633-1305",
            "fax_number": "586-263-5183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Military St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480605933",
            "country_code": "US",
            "telephone_number": "810-982-9527",
            "fax_number": "810-982-1663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGHER",
        "first_name": "ETHAN",
        "middle_name": "ABRAHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301112247",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301503777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ethan.Sagher@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "42452 Hayes Rd Ste 3",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480386771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ethan.Sagher@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1602 Military St",
            "city": "Port Huron",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480605933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dermatology Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.