HAITHAM MASRI


Address: 13530 Michigan Ave, Suite 150, Dearborn, MI 48126
Phone: 3139459800

HAITHAM MASRI (NPI# 1629247481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 13530 MICHIGAN AVE
SUITE 150
City DEARBORN
State MI
Zip Code 48126

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207YX0905X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Otolaryngology/Facial Plastic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City DEARBORN
Zip Code 48126

Improve Information

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Dataset Information

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.

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