Movi ASC Management LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MOVI ASC MANAGEMENT LLC

Practice address

5250 Auto Club Drive
Suite 170
Dearborn, MI 48126-2619

Phone

(313) 359-8300

Fax

(313) 359-8036

NPI assigned

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Elias Kassab, M.D.

Title

Owner

Phone

(313) 359-8300

Specialties & licenses 1

Addresses

Tax ID family

Movi ASC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Platinum Management LLC

  • Ambulatory Surgical Clinic/Center
  • Dearborn, MI
  • NPI 1194494484
  NPD tax ID

Locations

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1992339147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DRIVE",
            "address_2": "SUITE 170",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-359-8300",
            "fax_number": "313-359-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DRIVE",
            "address_2": "SUITE 170",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-359-8300",
            "fax_number": "313-359-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVI ASC MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "KASSAB",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-359-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Moussa, PMHNP-BC
• Mohamed Marouf Moussa, MD
• Sara Afif Moussa, M.D
• Hussein Mouzaihem, OD
• Zeinab Ali Mouzannar
• Melissa Moyer
• Amelie Ghassan Mozahem
• Hannan A. Mozip
• Ghaleb Mroue
• Khalil Mroue, M.D.

• Ambulatory Surgical Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.