CRITICAL CARE SURGEONS PLLC (NPI# 1710213731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710213731 |
| Entity Type | Organization |
| Organization Name | CRITICAL CARE SURGEONS PLLC |
| Practice Address |
22101 Moross Rd Detroit MI 48236-2148 |
| Mailing Address |
Po Box 32693 Detroit MI 48232-0693 |
| Practice Telephone | 3133434000 |
| Mailing Telephone | 2485438070 |
| Mailing Fax Number | 2485439005 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2014-02-06 |
| Authorized Official Name | DR. JOSEPH R BUCK (MANAGER) |
| Authorized Official Telephone | 3133434000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
22101 MOROSS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48236-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083609887 | Anne M Schneider | Obstetrics & Gynecology | 22101 Moross Rd, 313, Detroit, MI 48236-2148 | 2005-09-19 |
| 1346848827 | Tanya L Locke | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-10-15 |
| 1588261556 | Ryan Guthrie | Student in an Organized Health Care Education/Training Program | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-10-02 |
| 1578160743 | Lauren Kudirka | Speech-Language Pathologist | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-10-01 |
| 1952918740 | Lisa Colombo | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-09-26 |
| 1124635917 | Gjergj George Juncaj | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-09-26 |
| 1194337881 | Lori Holaly | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-08-23 |
| 1548870066 | Tamara Siblini | Student in an Organized Health Care Education/Training Program | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-08-10 |
| 1104436583 | David Mark Thomas | Student in an Organized Health Care Education/Training Program | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-07-31 |
| 1780293969 | Alexander Swend Mortensen | Student in an Organized Health Care Education/Training Program | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982146866 | United Trauma Care Plc | Surgery | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2016-11-09 |
| 1730415753 | Acute Care Surgeons PC | Surgery | 22101 Moross Rd, Detroit, MI 48236-2148 | 2009-10-27 |
| 1205999836 | Ilan S. Rubinfeld | Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-18 |
| 1760545396 | Joe H. Patton Jr. | Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-18 |
| 1922023837 | Thomas Knuth | Surgery | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-07-12 |
| 1801820881 | Northwest Trauma and Critical Care Physicians PC | Surgery | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548600638 | Td Oweis Md Plc | Surgery | 1528 Lawndale Dr, Royal Oak, MI 48067-1158 | 2013-07-03 |
| 1417249442 | Victoria Lynn Sharp | Surgery | 5301 E Huron River Dr Ste 2428, Ypsilanti, MI 48197-1051 | 2011-05-10 |
| 1427660489 | Violet Onkoba Do Pllc | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2020-08-20 |
| 1285259457 | Scott Barnes Do Plc | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2020-06-12 |
| 1124642632 | Sheer Surgical Pllc | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2020-06-01 |
| 1588222830 | Aaron James Tice | Surgery | 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 | 2019-06-02 |
| 1720560055 | Kaely Shaye Schlosser | Surgery | 100 Michigan St Ne Ste 8830, Grand Rapids, MI 49503-2560 | 2018-09-04 |
| 1043627425 | Ghassan Al Ramahi | Surgery | One Hurley Plaza, 7b Floor, Trauma Service, Flint, MI 48503 | 2014-07-17 |
| 1861733123 | Patrick Richard Beer | Surgery | 1 Hurley Plz, Flint, MI 48503-5902 | 2013-03-12 |
| 1699012450 | Hussein Mazloum Md PC | Surgery | 1020 Charter Dr, Suite A, Flint, MI 48532-3584 | 2013-01-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CRITICAL CARE SURGEONS PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.