Thaeer Sawa MD PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

THAEER SAWA MD PLLC

Practice address

35450 Dequindre Rd
Suite 106
Sterling Heights, MI 48310-4810

Phone

(586) 381-6869

NPI assigned

Feb 1, 2017

Organization subpart

No

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

Authorized official

Name

Thaeer Sawa, MDNPI 1093109241

Title

President

Phone

(586) 883-7935

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Thaeer Sawa, MD

  • General Practice Physician
  • Sterling Heights, MI
  • NPI 1093109241
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1982142618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38800 RYAN RD STE 102",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102993",
            "telephone_number": "586-883-7935",
            "fax_number": "586-588-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35450 DEQUINDRE RD",
            "address_2": "SUITE 106",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104810",
            "telephone_number": "586-381-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAEER SAWA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "SAWA",
        "authorized_official_first_name": "THAEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-883-7935",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.