OAKLAND MACOMB SURGICAL GROUP PLLC (NPI# 1124208335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124208335 |
| Entity Type | Organization |
| Organization Name | OAKLAND MACOMB SURGICAL GROUP PLLC |
| Practice Address |
27483 Dequindre #301 Madison Heights MI 48071 |
| Practice Telephone | 2485462600 |
| Practice Fax Number | 2485462604 |
| Mailing Telephone | 2485462600 |
| Mailing Fax Number | 2485462604 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2009-05-06 |
| Authorized Official Name | DAVID SEGAL (CEO) |
| Authorized Official Telephone | 2485462600 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
27483 DEQUINDRE #301 |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326052820 | Howard L Dubin | Internal Medicine | 27483 Dequindre, Suite 205, Madison Heights, MI 48071 | 2006-07-28 |
| 1780823427 | Tri-county Urologisits PC | Urology | 27483 Dequindre, Ste 308, Madison Heights, MI 48071 | 2009-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134533912 | Nicholas Sousa | Surgery | 27483 Dequindre Rd Ste 301, Madison Heights, MI 48071-5715 | 2014-06-19 |
| 1255696605 | Aftab Hassan Jafri | Surgery | 27690 Stephenson Hwy, Apt # 104, Madison Heights, MI 48071-3151 | 2012-07-11 |
| 1659416253 | Wl Physicians P.C. | Surgery | 1385 E 12 Mile Rd Ste 200, Madison Heights, MI 48071-2649 | 2007-02-21 |
| 1912385378 | Steven Vang | Surgery | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2015-05-18 |
| 1235576265 | Megan Tasker | Surgery | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2013-05-31 |
| 1871856948 | Shilpin Mehta | Surgery | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2012-06-22 |
| 1356637037 | Gretchen Dunford | Surgery | 27483 Dequindre Rd, Suite 301, Madison Heights, MI 48071-3491 | 2011-06-21 |
| 1851605851 | Yasir Khan | Surgery | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2010-08-02 |
| 1609180694 | David Domino | Surgery | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2010-08-02 |
| 1588865406 | Renee Ann Villaluz | Surgery | 27483 Dequindre Rd, #301, Madison Heights, MI 48071-3491 | 2007-05-29 |
| Find all providers in MADISON HEIGHTS | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
Please comment or provide details below to improve the information on OAKLAND MACOMB SURGICAL GROUP 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.