SYNERGY SPINE AND ORTHOPEDIC SURGERY CENTER, LLC (NPI# 1104179878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104179878 |
| Entity Type | Organization |
| Organization Name | SYNERGY SPINE AND ORTHOPEDIC SURGERY CENTER, LLC |
| Practice Address |
5504 E 12 Mile Rd Warren MI 48092-4684 |
| Mailing Address |
5504 West 12 Mile Road Warren MI 48092 |
| Practice Telephone | 5864396242 |
| Practice Fax Number | 5864396232 |
| Mailing Telephone | 5868382035 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2014-05-09 |
| Authorized Official Name | CORY MANN (DIRECTOR) |
| Authorized Official Telephone | 2489104455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
5504 E 12 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-4684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467795013 | Synergy Anesthesia Pllc | Anesthesiology | 5504 E 12 Mile Rd, Warren, MI 48092-4684 | 2013-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033730098 | Michigan Advanced Surgical Center, Pllc | Clinic/Center | 27101 Schoenherr Rd Ste 200, Warren, MI 48088-4730 | 2020-04-30 |
| 1013385046 | Interventional Pain Center Pllc | Clinic/Center | 27423 Van Dyke Ave, Warren, MI 48093-2867 | 2015-09-08 |
| 1528206562 | Southfield Rehabilition Company | Clinic/Center | 11012 E 13 Mile Rd, Suite 112a, Warren, MI 48093-2572 | 2009-01-29 |
| 1841333606 | Warren General Hospital | Clinic/Center | 2 W Crescent Park, Warren, PA 16365-2111 | 2007-02-14 |
| 1558451583 | Lippy Surgery Center LLC | Clinic/Center | 3893 E Market St, Warren, OH 44484-4706 | 2006-10-13 |
| 1205859550 | Community Surgery & Laser Center, LLC | Clinic/Center | 2 Farm Colony Drive, Warren, PA 16365-5206 | 2006-07-26 |
| 1558380675 | The Surgery Center, Howland | Clinic/Center | 1934 Niles Cortland Rd Ne, Warren, OH 44484-1055 | 2006-07-19 |
| 1396738936 | Warren Gastro Endoscopy Ctr Inc | Clinic/Center | 1622 E Market St, Warren, OH 44483-6613 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1588285050 | Hall Road Asc LLC | Clinic/Center | 11051 Hall Rd Ste 100, Utica, MI 48317-5737 | 2020-05-06 |
| 1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
| 1790306991 | Grass Lake Surgery Center LLC | Clinic/Center | 3800 Centennial Blvd, Grass Lake, MI 49240 | 2020-04-29 |
| 1992339147 | Movi Asc Management LLC | Clinic/Center | 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 | 2020-02-26 |
| 1609409929 | Firestone Procedure Center LLC | Clinic/Center | 4520 Firestone St Ste C, Dearborn, MI 48126-4602 | 2020-02-14 |
| 1255972113 | Center Health Surgery Center LLC | Clinic/Center | 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 | 2019-10-02 |
| 1942851639 | Northern Michigan Surgical Suites, LLC | Clinic/Center | 825 Moll Dr, Boyne City, MI 49712-9182 | 2019-09-24 |
| 1699328146 | Alliance Surgery Center, LLC | Clinic/Center | 3663 North Country Drive, Traverse City, MI 49684-4587 | 2019-07-23 |
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
| 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.