ENT SURGICAL ASSOC PC – NPI #1225073687
Otolaryngology

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

ENT SURGICAL ASSOC PC is an otolaryngologist located in MADISON HEIGHTS, MI. NPPES has assigned the NPI number 1225073687 to ENT SURGICAL ASSOC PC on June 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery

The NPI profile was previously updated about 15 years ago on Sep 21, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ENT SURGICAL ASSOC PC below.

NPI Profile for
ENT SURGICAL ASSOC PC

NPI Number
1225073687
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ENT SURGICAL ASSOC PC
Primary location
27483 DEQUINDRE RD STE 201
MADISON HEIGHTS, MI 48071-5711
Phone: (248) 541-0100 Fax: (248) 399-3960
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WARREN BRANDES
CEO PRESIDENT
Phone: (248) 541-0100
Updated
Identifiers

Identifiers for ENT SURGICAL ASSOC PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS MIMI040F31200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.