MICHIGAN SURGERY SPECIALISTS P.C. (NPI# 1851877153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851877153 |
| Entity Type | Organization |
| Organization Name | MICHIGAN SURGERY SPECIALISTS P.C. |
| Other Organization Name | MOTUS REHABILITATION |
| Practice Address |
11012 E 13 Mile Rd Ste 200 Warren MI 48093-2547 |
| Mailing Address |
29900 Lorraine Ave Ste 200 Warren MI 48093-5266 |
| Practice Telephone | 5865738890 |
| Practice Fax Number | 5865732706 |
| Mailing Telephone | 5865589705 |
| Mailing Fax Number | 5865589706 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2019-01-30 |
| NPI Deactivation Date | 01/07/2019 |
| NPI Reactivation Date | 2019-01-30 |
| Authorized Official Name | MICHELE L KUDLOR (BILLING SUPERVISOR) |
| Authorized Official Telephone | 5865589705 |
| Is Organization Subpart | Y |
| Parent Organization Name | MICHIGAN SURGERY SPECIALISTS P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0E01734 | 01 |
| Other Name | Type Code |
|---|---|
| Motus Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164411278 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093 | 2005-10-20 |
| 1730730987 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 37650 Professional Center Dr Ste 105a, Livonia, MI 48154-1199 | 2019-09-27 |
| 1174174320 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 18245 E 10 Mile Rd Ste 130, Roseville, MI 48066-5807 | 2019-09-27 |
| 1083265235 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 3100 Cross Creek Pkwy Ste 150, Auburn Hills, MI 48326-2777 | 2019-09-27 |
| 1316598857 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 25500 Meadowbrook Rd Ste 275, Novi, MI 48375-1884 | 2019-09-26 |
| 1134770670 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 2300 Haggerty Rd Ste 1110, West Bloomfield, MI 48323-2185 | 2019-09-26 |
| 1598251654 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 50505 Schoenherr Rd Ste 140, Shelby Township, MI 48315 | 2018-07-02 |
| Street Address |
11012 E 13 MILE RD STE 200 |
| City | WARREN |
| State | MI |
| Zip Code | 48093-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164411278 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093 | 2005-10-20 |
| 1245707439 | Elizabeth Ann Sullivan | Occupational Therapist | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093-2547 | 2018-10-26 |
| 1568958049 | Jordan Brandi Mulders | Occupational Therapist | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093-2547 | 2018-07-08 |
| 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 | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942677273 | Virgin Girl Hair | Prosthetic/Orthotic Supplier | 11885 E 12 Mile Rd Ste 200b, Warren, MI 48093-3474 | 2015-08-21 |
| 1962423061 | Eastwood Orthotics, Inc | Prosthetic/Orthotic Supplier | 3877 Youngstown Rd Se, Warren, OH 44484-2836 | 2006-07-22 |
| 1437176161 | Darling Apothecary, LLC | Prosthetic/Orthotic Supplier | 212-214 Liberty St., Warren, PA 16365-2347 | 2006-07-17 |
| 1376527986 | Orthotics & Prosthetics Rehabilitation Engineering Centre, Inc. | Prosthetic/Orthotic Supplier | 700 Howland Wilson Rd Se, Warren, OH 44484-2512 | 2005-12-06 |
| 1164411278 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093 | 2005-10-20 |
| 1184617094 | First Choice Medical Supply Inc | Prosthetic/Orthotic Supplier | 4451 Mahoning Ave Nw, Warren, OH 44483-1977 | 2005-08-25 |
| 1154829984 | Top Performance Medical Supplies | Prosthetic/Orthotic Supplier | 22815 Hillock Ave, Warren, MI 48089-5418 | 2018-01-26 |
| 1750608477 | Pros-tech, Inc. | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Suite 2b, Warren, MI 48088-3730 | 2010-04-21 |
| 1982883625 | Medical Resource Group | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Ste 2-b, Warren, MI 48088-3730 | 2007-10-30 |
| 1003993312 | Center for Physical Medicine and Rehabilitation, P.C. | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2006-11-01 |
| 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.