SANDUSKY SURGICAL PLLC (NPI# 1093762742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093762742 |
| Entity Type | Organization |
| Organization Name | SANDUSKY SURGICAL PLLC |
| Practice Address |
150 N Delaware St Sandusky MI 48471-1009 |
| Mailing Address |
Po Box 191 Sandusky MI 48471-0191 |
| Practice Telephone | 8106489670 |
| Practice Fax Number | 8106489677 |
| Mailing Telephone | 8106489670 |
| Mailing Fax Number | 8106489677 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | KHRISTINE C BOTEZAN (PRESIDENT) |
| Authorized Official Telephone | 8106489670 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 4301084929 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4700615 | 05 |
| Street Address |
150 N DELAWARE ST |
| City | SANDUSKY |
| State | MI |
| Zip Code | 48471-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912954652 | Khristine C Botezan | Surgery | 150 N Delaware St, Sandusky, MI 48471-1009 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
| 1942792122 | Harmony Elaine Bell | Social Worker | 227 E. Sanilac, Sandusky, MI 48471 | 2018-06-04 |
| 1093224354 | Elizabeth Westover | Spec/Tech, Health Info | 227 E. Sanilac Rd., Sandusky, MI 48471 | 2017-09-29 |
| 1821510975 | Robert Elliott Boyle | Dentist | 135 W Sanilac Road, Sandusky, MI 48471 | 2017-07-11 |
| 1154853596 | Kayla Ann Maurer | Physical Therapy Assistant | 267 E. Sanilac Rd., Sandusky, MI 48471 | 2017-04-03 |
| 1639569791 | Kayla Lyn Keinath | Technician, Other | 227 E. Sanilac Ave., Sandusky, MI 48471 | 2015-01-28 |
| 1396141685 | Jillian K Delie-volpe | Case Manager/Care Coordinator | 120 S. Custer Street, Sandusky, MI 48471 | 2014-11-13 |
| 1841514577 | Women's Integrated Health Care, PC | Obstetrics & Gynecology | 100 W Argyle St, Suite 4, Sandusky, MI 48471 | 2010-03-24 |
| 1659545127 | Kathy Ann Spiegel | Social Worker | 119 E. Sanilac Rd., Suite 8, Sandusky, MI 48471 | 2008-04-16 |
| 1386719771 | Shelly Jean Smith | Social Worker | 190 Delaware St., Sandusky, MI 48471 | 2006-11-21 |
| Find all providers in zip 48471 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023248895 | Northern Ohio Medical Specialists LLC | Clinic/Center | 2500 W Strub Rd, Suite 120, Sandusky, OH 44870 | 2009-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SANDUSKY SURGICAL PLLC.
| 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.