MICHIGAN SURGERY SPECIALISTS, P.C. (NPI# 1720559792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720559792 |
| Entity Type | Organization |
| Organization Name | MICHIGAN SURGERY SPECIALISTS, P.C. |
| Practice Address |
11012 E 13 Mile Rd Ste 201 Warren MI 48093-2547 |
| Mailing Address |
11012 E 13 Mile Rd Ste 112 Warren MI 48093-2546 |
| Practice Telephone | 5865820760 |
| Practice Fax Number | 5865825729 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | DANIEL ODDO (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5868068726 |
| Is Organization Subpart | Y |
| Parent Organization Name | MICHIGAN SURGERY SPECIALISTS, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MDSCRIPTS | 11012 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520507 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 19725 Allen Rd Ste B, Brownstown Twp, MI 48183-1090 | 2019-10-24 |
| 1811468184 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 18245 E 10 Mile Rd Ste 130, Roseville, MI 48066-5807 | 2018-12-16 |
| 1407327778 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 3100 Cross Creek Pkwy Ste 150, Auburn Hills, MI 48326-2777 | 2018-12-16 |
| 1184828451 | Michigan Surgery Specialists, P.C. | Orthopaedic Surgery | 11012 E 13 Mile Rd Ste 112, Warren, MI 48093-2546 | 2007-06-12 |
| 1427603489 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 50505 Schoenherr Rd Ste 250, Shelby Township, MI 48315-3141 | 2019-08-07 |
| 1255802526 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 11012 E 13 Mile Rd Ste 112, Warren, MI 48093-2546 | 2018-12-16 |
| 1881165157 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 22731 Newman St Ste 100a, Dearborn, MI 48124-2031 | 2018-12-16 |
| 1750877627 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 22731 Newman St Ste 100b, Dearborn, MI 48124 | 2018-07-03 |
| 1831685700 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 37650 Professional Center Dr Ste 105a, Livonia, MI 48154 | 2018-07-03 |
| 1205322112 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 3100 Cross Creek Pkwy Ste 150, Auburn Hills, MI 48326 | 2018-07-03 |
| Street Address |
11012 E 13 MILE RD STE 201 |
| City | WARREN |
| State | MI |
| Zip Code | 48093-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730124934 | Northpointe Pediatrics PC | Non-Pharmacy Dispensing Site | 30061 Schoenherr Rd, Ste A, Warren, MI 48088-3133 | 2006-06-19 |
| 1275090839 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 414 Market St, Warren, PA 16365-1764 | 2019-03-01 |
| 1255802526 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 11012 E 13 Mile Rd Ste 112, Warren, MI 48093-2546 | 2018-12-16 |
| 1952731242 | Steven T Plomaritis P L L C | Non-Pharmacy Dispensing Site | 28001 Schoenherr Rd, Suite 3, Warren, MI 48088-4396 | 2013-11-22 |
| 1255590766 | Macomb Orthopedic Surgeons | Non-Pharmacy Dispensing Site | 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 | 2008-06-09 |
| 1427198175 | Warren Family Practice Associates, Inc. | Non-Pharmacy Dispensing Site | 851 Main St, Warren, RI 02885-4384 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468184 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 18245 E 10 Mile Rd Ste 130, Roseville, MI 48066-5807 | 2018-12-16 |
| 1407327778 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 3100 Cross Creek Pkwy Ste 150, Auburn Hills, MI 48326-2777 | 2018-12-16 |
| 1003332271 | Wrs Pharmacy Solutions, LLC | Non-Pharmacy Dispensing Site | 112 S Main St Ste A, Ann Arbor, MI 48104-1953 | 2017-08-18 |
| 1457759144 | Perfect Eyes Optical LLC | Non-Pharmacy Dispensing Site | 20880 Gratiot Ave, Eastpointe, MI 48021-2822 | 2014-12-11 |
| 1346478740 | Pristine Medical LLC | Non-Pharmacy Dispensing Site | 1502 W West Maple Rd, Walled Lake, MI 48390-2945 | 2009-06-24 |
| 1801910807 | Wolverine Optical Inc | Non-Pharmacy Dispensing Site | 7314 N Alger Rd, Alma, MI 48801-1072 | 2007-03-17 |
| 1255439253 | Anthony J Derrico Do | Non-Pharmacy Dispensing Site | Cancer Care Associates PC, 1701 S Blvd East Ste 350, Rochester Hills, MI 48307 | 2006-09-21 |
| 1336246263 | Clinical Oncology Associates | Non-Pharmacy Dispensing Site | 30160 Orchard Lake Rd, Ste 100, Farmington Hills, MI 48334-2293 | 2006-09-20 |
| 1427603489 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 50505 Schoenherr Rd Ste 250, Shelby Township, MI 48315-3141 | 2019-08-07 |
| 1407412810 | Us Workforce Rx | Non-Pharmacy Dispensing Site | 112 S Main St Ste A, Ann Arbor, MI 48104-1953 | 2019-05-13 |
| Find all providers with the same taxonomy | ||||
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| 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.