Organization Active NPI

Mehmet C Agabigum MD PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Flint, MI
National Provider Identifier
1972776052
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
4301040397 Issued in MI
Legal business name
MEHMET C AGABIGUM MD PC
Practice address
5040 Villa Linde Pkwy
Ste a
Flint, MI 48532-3445
Phone
(810) 732-4250
Fax
(810) 732-0444
NPI assigned
Apr 9, 2008
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Dr. Mehmet C Agabigum, M.DNPI 1740265362
Title
President
Phone
(810) 732-4250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X 4301040397 MI Primary

Addresses

Primary practice location

5040 Villa Linde Pkwy
Ste a
Flint, MI 48532-3445

Mailing address

5040 Villa Linde Pkwy
Ste a
Flint, MI 48532-3445
Phone (810) 732-4250

Other identifiers 3

IdentifierTypeStateIssuer
0402500732OtherMIBLUE CROSS BLUE SHIELD
0400732OtherMIHEALTH PLUS
2115367MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1972776052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 VILLA LINDE PKWY",
            "address_2": "STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323445",
            "telephone_number": "810-732-4250",
            "fax_number": "810-732-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 VILLA LINDE PKWY",
            "address_2": "STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323445",
            "telephone_number": "810-732-4250",
            "fax_number": "810-732-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHMET C AGABIGUM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "AGABIGUM",
        "authorized_official_first_name": "MEHMET",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-732-4250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "4301040397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0402500732",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0400732",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2115367",
            "state": "MI"
        }
    ],
    "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 Jan 11, 2023; 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.