SOUTHEAST MICHIGAN SURGICAL HOSPITAL LCC (NPI# 1750501938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750501938 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MICHIGAN SURGICAL HOSPITAL LCC |
| Practice Address |
21230 Dequindre Rd Warren MI 48091 |
| Practice Telephone | 5864271000 |
| Practice Fax Number | 5864274921 |
| Mailing Telephone | 5864271000 |
| Mailing Fax Number | 5864274921 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | MR. NADIR IJAZ (DIRECTOR) |
| Authorized Official Telephone | 8102759371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4554160 | 05 |
| Street Address |
21230 DEQUINDRE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962402354 | Southeast Michigan Surgical Hospital, LLC | General Acute Care Hospital | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2005-07-28 |
| 1548895550 | Insight Urgent Care PC | Clinic/Center | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2020-03-10 |
| 1477049260 | Alexander Icardi | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-07-05 |
| 1487140521 | William Alexander Carter | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-07-02 |
| 1073008371 | Firras Garada | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-06-28 |
| 1801305198 | Tricia Ann Haener | Registered Nurse | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-09-29 |
| 1588180509 | Joshua Bennett | Dietitian, Registered | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-22 |
| 1801311030 | Susan Marie Vendemelio | Pharmacist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-09 |
| 1629593868 | Patrick Brien Butters | Pharmacist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-09 |
| 1477074904 | Seyed Sadegh Arab | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154865376 | Mercy Health Youngstown, LLC | General Acute Care Hospital | 627 Eastland Ave Se Ste 102, Warren, OH 44484-4501 | 2016-12-07 |
| 1629200589 | Henry Ford Hospital Macomb Warren Campus | General Acute Care Hospital | 11580 Metter Ave, Warren, MI 48089-3840 | 2009-08-11 |
| 1316157514 | Umdnj | General Acute Care Hospital | 27 Softwood Way, Warren, NJ 07059-6791 | 2007-05-23 |
| 1902842735 | Henry Ford Macomb Hospital Corporation | General Acute Care Hospital | 13355 East 10 Mile Rd, Warren, MI 48089-2048 | 2006-06-21 |
| 1962402354 | Southeast Michigan Surgical Hospital, LLC | General Acute Care Hospital | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2005-07-28 |
| 1053844761 | Steward Trumbull Memorial Hospital, Inc. | General Acute Care Hospital | 1350 E Market St, Warren, OH 44483-6608 | 2017-04-10 |
| 1477967446 | St. John Providence Health System | General Acute Care Hospital | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2014-06-17 |
| 1346511383 | St. John Providence | General Acute Care Hospital | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-01-23 |
| 1154612745 | St. John Providence Health System | General Acute Care Hospital | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2011-04-29 |
| 1043526023 | Warren Ohio Hospital Company LLC | General Acute Care Hospital | 1350 E Market St, Warren, OH 44483-6608 | 2010-08-27 |
| Find all providers in WARREN | ||||
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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.