MICHIGAN COLON & RECTAL SURGEONS, PC (NPI# 1093749095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093749095 |
| Entity Type | Organization |
| Organization Name | MICHIGAN COLON & RECTAL SURGEONS, PC |
| Other Organization Name | MCRS |
| Practice Address |
18161 W 13 Mile Rd Suite A1 Southfield MI 48076-1113 |
| Mailing Address |
18161 W 13 Mile Rd. Suite B-1 Southfield MI 48076 |
| Practice Telephone | 2486443711 |
| Practice Fax Number | 2486442864 |
| Mailing Telephone | 2486443711 |
| Mailing Fax Number | 2486442864 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-05-21 |
| Authorized Official Name | GINGER G KLEINERT (OFFICE MANAGER) |
| Authorized Official Telephone | 2486443711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| mcrs | Other Name - Individual/Organization |
| Street Address |
18161 W 13 MILE RD SUITE A1 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321287 | Lawrence C Sweet | Allergy & Immunology | 18161 W 13 Mile Rd, Suite C, Southfield, MI 48076-1113 | 2005-10-21 |
| 1023662236 | Amy Michelle Bakalar | Nurse Practitioner | 18161 W 13 Mile Rd, Southfield, MI 48076-1113 | 2019-07-25 |
| 1033588082 | Total Recovery Physical Therapy LLC | Specialist | 18161 W 13 Mile Rd, Suite E 3, Southfield, MI 48076-1113 | 2015-09-21 |
| 1164829479 | Ocie Drake Jr. | Dentist | 18161 W 13 Mile Rd, Suite D-1, Southfield, MI 48076-1113 | 2014-12-02 |
| 1639573389 | Biochem Diagnostics Laboratory, Inc | Clinical Medical Laboratory | 18161 W 13 Mile Rd, Suite D3, Southfield, MI 48076-1113 | 2014-10-09 |
| 1215276092 | Dathatreya Kandagari | Physical Therapist | 18161 W 13 Mile Rd, Suite E-3, Southfield, MI 48076-1113 | 2013-02-13 |
| 1295088870 | Total Recovery Physical Therapy | Physical Therapy Assistant | 18161 W 13 Mile Rd, Suite E3, Southfield, MI 48076-1113 | 2012-10-19 |
| 1386935955 | Kathy Lynn Bashawaty | Nurse Practitioner | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 | 2011-04-29 |
| 1144536954 | Bronco Injury & Chiropractic Center, Inc. | Chiropractor | 18161 W 13 Mile Rd, Ste E3, Southfield, MI 48076-1113 | 2010-08-31 |
| 1508195835 | Michigan Diagnostic, LLC | Specialist/Technologist, Other | 18161 W 13 Mile Rd, Suite E3, Southfield, MI 48076-1113 | 2009-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114140167 | Ralph D Pearlman Md PC | Colon & Rectal Surgery | 22250 Providence Dr Ste 702, Southfield, MI 48075-6215 | 2007-04-10 |
| 1588121586 | Deepa Taggarshe Md Pllc | Colon & Rectal Surgery | 22250 Providence Dr Ste 702, Southfield, MI 48075-6215 | 2019-02-26 |
| 1467758292 | Aad, Pllc | Colon & Rectal Surgery | 22250 Providence Dr, #702, Southfield, MI 48075-4825 | 2011-01-26 |
| 1487853339 | Amir A. Damadi | Colon & Rectal Surgery | 22250 Providence Dr., #702, Southfield, MI 48075 | 2007-07-12 |
| 1033125992 | Ralph Donald Pearlman | Colon & Rectal Surgery | 22250 Providence Dr, Ste #702, Southfield, MI 48075 | 2006-07-31 |
| 1801839899 | Ernesto R Drelichman | Colon & Rectal Surgery | 16001 W 9 Mile Rd, 3rd Floor Fisher, Southfield, MI 48075-4818 | 2006-06-14 |
| 1003814955 | Alasdair I.l. Mckendrick | Colon & Rectal Surgery | 22250 Providence Dr, Suite 208, Southfield, MI 48075-4825 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649566068 | Kristin M Busch | Colon & Rectal Surgery | 4201 Campus Ridge Dr, Midland, MI 48640-6128 | 2011-06-23 |
| 1215245329 | Warren P Mazier | Colon & Rectal Surgery | 7701 Conservation St Ne, Ada, MI 49301-9522 | 2010-09-23 |
| 1346566908 | William Lionel Beauregard | Colon & Rectal Surgery | 4406 Birch Run Dr, Troy, MI 48098-4341 | 2010-04-07 |
| 1770637753 | Chairat Chomchai | Colon & Rectal Surgery | 28111 Hoover Road, Suite 6a, Warren, MI 48093 | 2007-01-23 |
| 1225191844 | John C. Eggenberger | Colon & Rectal Surgery | 5325 Elliott Dr Ste 104, Ypsilanti, MI 48197-8633 | 2006-12-18 |
| 1518051358 | Colon and Rectal Surgery Associates PC | Colon & Rectal Surgery | 1126 Gull Rd, Kalamazoo, MI 49048 | 2006-10-03 |
| 1568569655 | Farouk S Tootla | Colon & Rectal Surgery | 44060 Woodward Ave, Bloomfield Hills, MI 48302-5038 | 2006-09-20 |
| 1962470435 | Harold D Friedl | Colon & Rectal Surgery | 1126 Gull Road, Colon and Rectal Surgery Associates PC, Kalamazoo, MI 49048-1726 | 2006-03-10 |
| 1619950631 | Ganesh R Deshmukh | Colon & Rectal Surgery | 3106 S Wayne Rd, Wayne, MI 48184 | 2005-11-23 |
| 1629050828 | Hans J Stein | Colon & Rectal Surgery | 1121 Crooks Rd, Royal Oak, MI 48067 | 2005-11-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
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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.