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CENTER FOR EARNOSE AND THROAT PC NPI 1083659932


NPI Information

NPI: 1083659932
Provider Name: CENTER FOR EAR,NOSE AND THROAT PC
Classification: Otolaryngology - 207YX0007X
Entity Type: Organization

Specialization: Plastic Surgery within the Head & Neck

Address:
2300 HAGGERTY ROAD
SUITE 2130
WEST BLOOMFIELD, MI
ZIP 48323
Phone: (248) 668-1104
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CENTER FOR EAR,NOSE AND THROAT PC is a plastic surgery within the head and neck otolaryngology in West Bloomfield, MI. The provider is 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. CENTER FOR EAR,NOSE AND THROAT PC NPI is 1083659932. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2300 HAGGERTY ROAD
SUITE 2130
WEST BLOOMFIELD, MI
ZIP 48323
Phone: (248) 668-1104
Fax: (248) 668-1096

The provider's authorized official is Steven Joe Kin .
The authorized official title is Owner/physician and has the following contact phone number (248) 668-1104.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 2/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck5101010029MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11009579OTHERMICHIGANGREAT WEST
2101058OTHERMICHIGANGREAT LAKES
34233036OTHERMICHIGANAETNA
482908OTHERMICHIGANPHCS
5040F338670OTHERMICHIGANBCN
6040F338670OTHERMICHIGANBCBS GROUP
7B9900OTHERMICHIGANMCARE
812043OTHERMICHIGANDMC
9040015528OTHERMICHIGANRAILROAD MEDICARE
10107796OTHERMICHIGANCARE CHOICES
11F31235OTHERMICHIGANHAP
120456336254OTHERMICHIGANBCBC BCN
132886OTHERMICHIGANCAPE
144100372MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.