HAITHAM MASRI (NPI# 1629247481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629247481 |
Entity Type | Individual |
Full Name | HAITHAM MASRI |
Credential | MD |
Practice Address |
13530 Michigan Ave Suite 150 Dearborn MI 48126 |
Mailing Address |
13530 Michigan Ave Suite 150 Dearborn MI 48126-3574 |
Practice Telephone | 3139459800 |
Practice Fax Number | 3139459184 |
Mailing Telephone | 3139459800 |
Mailing Fax Number | 3139459184 |
Enumeration Date | 2008-02-26 |
Last Update Date | 2018-07-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | HM052487 | MI | Other Service Providers |
N | 207Y00000X | Otolaryngology | 4301052487 | MI | Allopathic & Osteopathic Physicians |
N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
4301052487 | MI | Allopathic & Osteopathic Physicians |
N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
4301052487 | MI | Allopathic & Osteopathic Physicians |
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
4301052487 | MI | Allopathic & Osteopathic Physicians |
N | 208200000X | Plastic Surgery | 4301052487 | MI | Allopathic & Osteopathic Physicians |
N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
4301052487 | MI | Allopathic & Osteopathic Physicians |
N | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
4301052487 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS IND | 0408205571 | 01 |
MI | BLUE CROSS BLUE SHIELD MI | 700H228180 | 01 |
MI | RAILROAD MEDICARE | P10167081 | 01 |
MI | 4867754 | 05 | |
MI | 1629247481 | 05 |
Street Address |
13530 MICHIGAN AVE SUITE 150 |
City | DEARBORN |
State | MI |
Zip Code | 48126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225020043 | Manijeh Shafiemir | Optometrist | 13530 Michigan Ave, Dearborn, MI 48126-3574 | 2005-08-17 |
1437776689 | Neurospine Coverage Pllc | Psychiatry & Neurology | 13530 Michigan Ave, Dearborn, MI 48126-3574 | 2020-07-02 |
1831758358 | Bashir D Tarraf | Optometrist | 13530 Michigan Ave, Dearborn, MI 48126-3574 | 2019-06-08 |
1538694054 | Hs Management LLC | Clinic/Center | 13530 Michigan Ave, Ground Floor, Dearborn, MI 48126-3574 | 2017-04-21 |
1457882888 | Michigan Specialty Clinic Pllc | Clinical Medical Laboratory | 13530 Michigan Ave, Suite L2, Dearborn, MI 48126-3574 | 2017-03-27 |
1902347529 | Nextgen Diagnostics LLC | Radiology | 13530 Michigan Ave, Ste 101, Dearborn, MI 48126-3574 | 2017-03-15 |
1790226314 | Nextgen Pain Associates & Rehabilitation LLC | Clinic/Center | 13530 Michigan Ave, Ste 310, Dearborn, MI 48126-3574 | 2017-03-15 |
1487192662 | Healthcare Durable Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 13530 Michigan Ave, Suite L2, Dearborn, MI 48126-3574 | 2017-02-07 |
1063964609 | Nextgen Rehab LLC | Pain Medicine | 13530 Michigan Ave, Suite 310, Dearborn, MI 48126-3574 | 2016-10-31 |
1851842157 | Dearborn Pain Specialists, Plc | Pain Medicine | 13530 Michigan Ave, Suite 245, Dearborn, MI 48126-3574 | 2016-10-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
Find all providers in zip 48126 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336362722 | Danny Kewson M.d. P.c | Otolaryngology | 2454 Monroe St Ste A, Dearborn, MI 48124 | 2007-04-11 |
1760700660 | Michigan Specialty Clinic Pllc | Otolaryngology | 13530 Michigan Ave, Suite 120, Dearborn, MI 48126-3583 | 2010-05-17 |
1598083024 | Mark Sabah Toma | Otolaryngology | 2421 Monroe St, Suite 201, Dearborn, MI 48124-3043 | 2010-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851720312 | Prasad J Thottam | Otolaryngology | 7001 Ochard Lake Road, 320c, West Bloomfield, MI 48322-3607 | 2013-11-05 |
1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
1528145935 | Demello Medical Clinic | Otolaryngology | 39379 Garfield Rd, Cilnton Township, MI 48038 | 2006-11-01 |
1508979436 | Russell Wayne Craig | Otolaryngology | 17901 Hall Rd, Macomb Twp, MI 48044 | 2006-08-16 |
1942218177 | Paul E Lomeo | Otolaryngology | 268 W Seminole Rd, Muskegon, MI 49444-3733 | 2006-08-03 |
1891715991 | Phillips H Winter | Otolaryngology | 577 Michigan Avenue, Suite 101, Holland, MI 49423 | 2006-07-20 |
1336191139 | Robert Louis Borenitsch | Otolaryngology | 5200 State St, Saginaw, MI 48603-3713 | 2006-05-17 |
1124007539 | Ted H Schwartzenfeld | Otolaryngology | 27483 Dequindre Rd Ste 201, Madison Heights, MI 48071-5711 | 2006-01-13 |
1851390066 | Michael Andrew Freedman | Otolaryngology | 14600 King Rd Ste D, Riverview, MI 48193-7952 | 2005-07-19 |
1518961879 | Khaled M Shukairy | Otolaryngology | 1501 S Center Rd, Bldg B, Burton, MI 48509-1731 | 2005-06-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.