Organization
CENTER FOR EAR,NOSE AND THROAT PC
Active
Organization
CENTER FOR EAR,NOSE AND THROAT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JOE KIN DO (OWNER/PHYSICIAN)
(248) 668-1104
Entity
Organization
Contact information
Practice address
2300 HAGGERTY ROAD, SUITE 2130, WEST BLOOMFIELD, MI 48323
(248) 668-1104
(248) 668-1096
Mailing address
2300 HAGGERTY RD STE 2130, WEST BLOOMFIELD, MI 48323-2191
(248) 668-1104
(248) 668-1096
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
5101010029
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040015528
RAILROAD MEDICARE
MI
01
—
040F338670
BCN
MI
01
—
0456336254
BCBC BCN
MI
01
—
1009579
GREAT WEST
MI
01
—
101058
GREAT LAKES
MI
01
—
107796
CARE CHOICES
MI
01
—
12043
DMC
MI
01
—
2886
CAPE
MI
05
—
4100372
—
MI
01
—
4233036
AETNA
MI
01
—
82908
PHCS
MI
01
—
B9900
MCARE
MI
01
—
F31235
HAP
MI
Enumeration date
06/17/2006
Last updated
02/06/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up