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MICHIGAN OTOLARYNGOLOGY SURGERY ASSOCIATES
NPI 1053760470
Physician Assistant - Medical in Ypsilanti, MI

Active since June 07, 2016
5333 MCAULEY DR, SUITE 2017, YPSILANTI, MI 48197(734) 434-3200(734) 434-3206 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michigan Otolaryngology Surgery Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN OTOLARYNGOLOGY SURGERY ASSOCIATES (NPI 1053760470) is a healthcare organization registered as a medical in Ypsilanti, Michigan and active in the NPI registry since June 2016. The organization lists Thomas Weimert, President, as its authorized official.

NPPES Registry Identity

NPI1053760470
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameMICHIGAN OTOLARYNGOLOGY SURGERY ASSOCIATES
Location Address5333 MCAULEY DR, SUITE 2017Ypsilanti, MI 48197-1014
Mailing Address5333 Mcauley Dr, Suite 2017Ypsilanti, MI 48197-1014 · (734) 434-3200 · Fax (734) 434-3206
Phone(734) 434-3200
Fax(734) 434-3206
Organization SubpartNo
Authorized OfficialThomas WeimertPresident · (734) 793-2978
Enumeration DateJune 7, 2016
✔ NPI 1053760470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601007770
5333 MCAULEY DR, Ypsilanti, MI 48197
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2189339

Michigan Otolaryngology Surgery Associates · Ypsilanti, MI
Expired · Jul 28, 2026
CLIA Number23D2189339
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorPaul T. Hoff
Laboratory Phone(734) 434-3200
Laboratory LocationMichigan Otolaryngology Surgery Associates5333 Mcauley Drive Suite 2017, Ypsilanti, MI 48197
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARDEN BASLER RN
Registered Nurse (Women's Health Care, Ambulatory)
5333 MCAULEY DR, RHB 2110
YPSILANTI, MI 48197
Washtenaw County (734) 712-3126
MORGAN MURDOCK CNP
Internal Medicine (Addiction Medicine)
5333 MCAULEY DR, SUITE 3111
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. VISHAL BHAGAT M.D.
Radiology (Vascular & Interventional Radiology)
5333 MCAULEY DR, SUITE 6016
YPSILANTI, MI 48197
Washtenaw County (734) 712-8350
ST JOSEPH MERCY HOSPITAL
Internal Medicine
5333 MCAULEY DR, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
DR. GIL S. BORLAZA M.D.
Radiology (Diagnostic Radiology)
5333 MCAULEY DR, SUITE 6016
YPSILANTI, MI 48197
Washtenaw County (734) 712-8350
MS. MICHELLE SCHNAPER OKUN MS, APRN, BC
Nurse Practitioner (Adult Health)
5333 MCAULEY DR, SUITE 4106
YPSILANTI, MI 48197
Washtenaw County (734) 712-5637
THERON LEROY DOBSON M.D.
Psychiatry & Neurology (Neurology)
5333 MCAULEY DR, STE 6109
YPSILANTI, MI 48197
Washtenaw County (734) 712-1400
ELI PEARSON TIDWELL
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michigan Otolaryngology Surgery Associates's NPI number?

The NPI number for Michigan Otolaryngology Surgery Associates is 1053760470. It was assigned to this organization in the NPPES registry on June 7, 2016.

Where is Michigan Otolaryngology Surgery Associates located?

Michigan Otolaryngology Surgery Associates is located at 5333 Mcauley Dr Suite 2017, Ypsilanti, MI 48197. The listed phone number is (734) 434-3200.

What is Michigan Otolaryngology Surgery Associates's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Michigan Otolaryngology Surgery Associates was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.