Avi Wasserman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301086673 Issued in MI

Practice address

2865 Walters Way
Ann Arbor, MI 48103-8833

Phone

(734) 255-7287

Fax

(734) 769-1262

NPI assigned

Oct 8, 2012

Last updated

Oct 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1972855534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 WALTERS WAY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038833",
            "telephone_number": "734-255-7287",
            "fax_number": "734-769-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 WALTERS WAY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038833",
            "telephone_number": "734-255-7287",
            "fax_number": "734-769-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "AVI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301086673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Matthew Wasielewski, NP
• Raymond Charles Wasil
• Lucy A Waskell, MD
• Samantha Wasnich, LLMSW
• Ashish Pandhari Wasnik, MD
• Brad Eric Wasserman
• Robb A Wasserman, MD
• Ronald Arthur Wasserman, MD
• Anastasia Irene Wasylyshyn, MD
• Catherine Faith Wasylyshyn

• Internal Medicine Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.