ENT SURGICAL ASSOC PC NPI 1225073687

NPI Information

  • NPI: 1225073687
  • Provider Name: ENT SURGICAL ASSOC PC
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Organization
  • Address: 27483 DEQUINDRE RD STE 201
    MADISON HEIGHTS, MI
    ZIP 48071
  • Phone: (248) 541-0100

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NPI Details

ENT SURGICAL ASSOC PC is an otolaryngology/facial plastic surgery otolaryngology in Madison Heights, MI. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. ENT SURGICAL ASSOC PC NPI is 1225073687. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

27483 DEQUINDRE RD STE 201
MADISON HEIGHTS, MI
ZIP 48071-711
Phone: (248) 541-0100
Fax: (248) 399-3960

The provider's authorized official is Warren L Brandes .
The authorized official title is Ceo President and has the following contact phone number (248) 541-0100.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 9/21/2011.

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
1237600000XAudiologist-Hearing Aid FitterNo
2237700000XHearing Instrument SpecialistNo
3207YX0602XOtolaryngologyOtolaryngic AllergyNo
4207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryYes

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
1040F31200OTHERMICHIGANBCBS MI
20P13760MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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: 11/21/2025

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