MICHIGAN SURGERY SPECIALISTS, P.C. (NPI# 1881165157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881165157 |
| Entity Type | Organization |
| Organization Name | MICHIGAN SURGERY SPECIALISTS, P.C. |
| Practice Address |
22731 Newman St Ste 100a Dearborn MI 48124-2031 |
| Mailing Address |
11012 E 13 Mile Rd Ste 112 Warren MI 48093-2546 |
| Practice Telephone | 3135614910 |
| Practice Fax Number | 3135618561 |
| Enumeration Date | 2018-12-16 |
| 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 | 22731 | 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 |
| 1720559792 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 11012 E 13 Mile Rd Ste 201, Warren, MI 48093-2547 | 2018-12-17 |
| 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 |
| 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 |
22731 NEWMAN ST STE 100A |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861736027 | Scott Sami Samona | Orthopaedic Surgery | 22731 Newman St Ste 100a, Dearborn, MI 48124-2031 | 2012-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| 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 |
|---|---|---|---|---|
| 1720559792 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 11012 E 13 Mile Rd Ste 201, Warren, MI 48093-2547 | 2018-12-17 |
| 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 |
| 1730124934 | Northpointe Pediatrics PC | Non-Pharmacy Dispensing Site | 30061 Schoenherr Rd, Ste A, Warren, MI 48088-3133 | 2006-06-19 |
| 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.