NPIMap

Organization Active NPI

Southeastern Michigan Anesthesia

  • Anesthesiology Physician
  • Canton, MI
National Provider Identifier
1942434592
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SOUTHEASTERN MICHIGAN ANESTHESIA
Practice address
42680 Ford Rd
Canton, MI 48187
Phone
(734) 844-5700
NPI assigned
May 12, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Hussein Huraibi, MD
Title
Authorized Representative
Phone
(734) 476-4845

Practitioners 25

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

View all 25

National Provider Directory

National Provider Directory

Locations

42680 Ford Rd
Canton, MI 48187
Phone (734) 658-8459

255 W Michigan Ave
Jackson, MI 49201

1030 N Monroe St
#O
Monroe, MI 48162
Phone (734) 682-3309

11650 Belleville Rd
Ste 105
Van Buren Township, MI 48111
Phone (734) 325-6282

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

42680 Ford Rd
Canton, MI 48187

Mailing address

255 W Michigan Ave
PO Box 1123
Jackson, MI 49201-2218
Phone (800) 516-5315

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2012.

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1942434592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "address_2": "PO BOX 1123",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "800-516-5315",
            "fax_number": "517-787-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42680 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48187",
            "telephone_number": "734-844-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN MICHIGAN ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "HURAIBI",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "734-476-4845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.