GENESEE ENT ASSOCIATES PC (NPI# 1992032338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992032338 |
| Entity Type | Organization |
| Organization Name | GENESEE ENT ASSOCIATES PC |
| Practice Address |
1501 S Center Rd Bldg B Burton MI 48509-1731 |
| Practice Telephone | 8107420225 |
| Practice Fax Number | 8107427990 |
| Mailing Telephone | 8107420225 |
| Mailing Fax Number | 8107427990 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | DR. KHALED M SHUKAIRY (OWNER) |
| Authorized Official Telephone | 8107420225 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | 1601000320 | MI | Speech, Language and Hearing Service Providers |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
4301085139 | MI | Allopathic & Osteopathic Physicians |
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
4301037118 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1501 S CENTER RD BLDG B |
| City | BURTON |
| State | MI |
| Zip Code | 48509-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961879 | Khaled M Shukairy | Otolaryngology | 1501 S Center Rd, Bldg B, Burton, MI 48509-1731 | 2005-06-02 |
| 1245881374 | Alanee Md Pllc | Urology | 1501 S Center Rd, Burton, MI 48509-1731 | 2019-09-20 |
| 1972155133 | Samir Basata Md PC | Urology | 1501 S Center Rd, Burton, MI 48509-1731 | 2019-07-09 |
| 1578061040 | Christine Marie Johnson | Physical Therapy Assistant | 1501 S Center Rd, Burton, MI 48509-1731 | 2018-01-30 |
| 1821532722 | Roger Villarin | Physical Therapist | 1501 S Center Rd, Building A, Burton, MI 48509-1731 | 2016-12-12 |
| 1154865046 | Centrum Physical Therapy PC | Clinic/Center | 1501 S Center Rd, Building A, Burton, MI 48509-1731 | 2016-12-12 |
| 1093171191 | Samir Basata Md | Urology | 1501 S Center Rd, Building B, Burton, MI 48509-1731 | 2016-01-06 |
| 1144511312 | Genesee Ent Associates, PC | Hearing Aid Equipment | 1501 S Center Rd, Bldg B, Burton, MI 48509-1731 | 2011-04-22 |
| 1548576259 | Shukairy Associates, LLC | Home Health | 1501 S Center Rd, Burton, MI 48509-1731 | 2010-08-19 |
| 1629305057 | Abdul Tabbaa Md PC | Urology | 1501 S Center Rd, Burton, MI 48509-1731 | 2009-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
| 1538657697 | Jenny Dudley | Nurse Practitioner | 1501 Center Rd, Burton, MI 48509 | 2018-04-24 |
| 1831618289 | Michael T Sproule | Registered Nurse | 6201 Woodmoor Dr, Burton, MI 48509 | 2017-09-18 |
| 1083159438 | William H Moon Jr Dds | Dentist | 1481 South Center Road, Burton, MI 48509 | 2016-12-21 |
| 1922419464 | David Peter Luebbert | Family Medicine | 1460 N. Center Rd., Burton, MI 48509 | 2014-05-19 |
| 1760722896 | Ambe Inc. | Pharmacy | 6009 E. Lapeer Rd, Burton, MI 48509 | 2013-02-27 |
| 1669519328 | Planned Parenthood Mid and South Michigan | Clinic/Center | G1235 S Center Rd, Unit #17, Burton, MI 48509 | 2007-01-31 |
| 1073689899 | Tender Dental Care PC | Dentist | 1024 N Genesee, Burton, MI 48509 | 2006-11-24 |
| 1043385701 | William H Moon Jr. | Dentist | 1481 S Center Rd, Burton, MI 48509 | 2006-11-21 |
| 1679669485 | Todd William Lee | Optometrist | 5323 E. Court St. N., Burton, MI 48509 | 2006-10-05 |
| Find all providers in zip 48509 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467853515 | Michigan Ear, Nose, Throat & Allergy Specialist | Otolaryngology | 1445 Sheldon Rd Ste 300, Grand Haven, MI 49417-2479 | 2014-09-09 |
| 1790004166 | Veritas Group LLC | Otolaryngology | 300 S State St Ste 1, Zeeland, MI 49464-1677 | 2010-05-25 |
| 1144354820 | Shoreline Ent Plc | Otolaryngology | 268 Seminole Rd, Muskegon, MI 49444-3733 | 2007-03-15 |
| 1205920873 | Michael Sherbin | Otolaryngology | 309 Northbound Gratiot Ave, Mount Clemens, MI 48043-5748 | 2006-10-03 |
| 1366462350 | Terry R Degroot | Otolaryngology | 1617 Sheldon Rd, Grand Haven, MI 49417-2543 | 2006-07-20 |
| 1740244870 | Richard J Strabbing | Otolaryngology | 3100 N. Wellness Dr, Holland, MI 49424 | 2006-04-14 |
| 1568423986 | Joe S Chomchai | Otolaryngology | 4851 E Pickard St Ste 2700, Mount Pleasant, MI 48858-2042 | 2006-03-28 |
| 1740265362 | Mehmet Cemal Agabigum | Otolaryngology | 5040 Villa Linde Pkwy, Ste A, Flint, MI 48532-3445 | 2005-12-07 |
| 1437519279 | Kathleen Elizabeth Mcclain | Otolaryngology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2016-03-04 |
| 1285974964 | Drue A Manning | Otolaryngology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2013-02-18 |
| Find all providers with the same taxonomy | ||||
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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.