MICHIGAN SURGERY SPECIALISTS P.C. (NPI# 1164411278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164411278 |
| Entity Type | Organization |
| Organization Name | MICHIGAN SURGERY SPECIALISTS P.C. |
| Other Organization Name | MOTUS REHABILITATION |
| Practice Address |
11012 E 13 Mile Rd Ste 200 Warren MI 48093 |
| Mailing Address |
29900 Lorraine Ave Suite 400 Warren MI 48093-5266 |
| Practice Telephone | 5865738890 |
| Practice Fax Number | 5865732706 |
| Mailing Telephone | 5865589705 |
| Mailing Fax Number | 5865589706 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2019-10-24 |
| Authorized Official Name | MICHELE L KUDLOR (BILLING MANAGER) |
| Authorized Official Telephone | 5865589705 |
| Is Organization Subpart | Y |
| Parent Organization Name | MICHIGAN SURGERY SPECIALISTS P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1164411278 | 05 | |
| MI | MEDICARE | 236575 | 01 |
| MI | BLUE CROSS | 30697 | 01 |
| Other Name | Type Code |
|---|---|
| Motus Rehabilitation | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3100 Cross Creek Pkwy Ste 150, Auburn Hills, MI 483262777 | 2484750565 | 2484750649 |
| 22731 Newman St Ste 100b, Dearborn, MI 481242023 | 3137910616 | 3137910632 |
| 50505 Schoenherr Rd, Shelby Twp, MI 483153140 | 5866498853 | |
| 37650 Professional Center Dr Ste 105a, Livonia, MI 481541199 | 7349433838 | 7347448516 |
| 18245 E 10 Mile Rd Ste 130, Roseville, MI 480665807 | 5867743100 | 5867743030 |
| 19725 Allen Rd Ste A, Brownstown Twp, MI 481831090 | 5865589705 | |
| 43628 Garfeld Rd, Clinton Twp, MI 48038 | 5865589705 | |
| 25500meadowbrook, Suite 275, Novi, MI 483751884 | 5865589705 | |
| 2300 Haggerty Rd Ste 1110, West Bloomfield, MI 483232185 | 5865589705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730987 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 37650 Professional Center Dr Ste 105a, Livonia, MI 48154-1199 | 2019-09-27 |
| 1174174320 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 18245 E 10 Mile Rd Ste 130, Roseville, MI 48066-5807 | 2019-09-27 |
| 1083265235 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 3100 Cross Creek Pkwy Ste 150, Auburn Hills, MI 48326-2777 | 2019-09-27 |
| 1316598857 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 25500 Meadowbrook Rd Ste 275, Novi, MI 48375-1884 | 2019-09-26 |
| 1134770670 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 2300 Haggerty Rd Ste 1110, West Bloomfield, MI 48323-2185 | 2019-09-26 |
| 1851877153 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093-2547 | 2018-07-19 |
| 1598251654 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 50505 Schoenherr Rd Ste 140, Shelby Township, MI 48315 | 2018-07-02 |
| Street Address |
11012 E 13 MILE RD STE 200 |
| City | WARREN |
| State | MI |
| Zip Code | 48093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245707439 | Elizabeth Ann Sullivan | Occupational Therapist | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093-2547 | 2018-10-26 |
| 1851877153 | Michigan Surgery Specialists P.C. | Prosthetic/Orthotic Supplier | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093-2547 | 2018-07-19 |
| 1568958049 | Jordan Brandi Mulders | Occupational Therapist | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093-2547 | 2018-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346696101 | Complete Occupational Health Center LLC | Clinic/Center | 8323 E Market St Ste 2, Warren, OH 44484-2342 | 2016-05-11 |
| 1548895550 | Insight Urgent Care PC | Clinic/Center | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2020-03-10 |
| 1255745899 | Center for Occupational Health, LLC | Clinic/Center | 8323 E Market St, Warren, OH 44484-2342 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447602628 | Hackley Hospital | Clinic/Center | 5730 W Us Highway 10, Ludington, MI 49431-2452 | 2016-07-12 |
| 1134470941 | Occupational Health Centers of Michigan PC | Clinic/Center | 19200 West Rd, Woodhaven, MI 48183-3386 | 2012-09-20 |
| 1205111465 | Therapy Unlimited, LLC | Clinic/Center | 44125 W Twelve Mile Road, E-123, Box D7, Novi, MI 48377-1980 | 2011-10-19 |
| 1902038847 | Tonicity Therapy Group, Inc. | Clinic/Center | 34663 Valley Forge Dr, Farmington Hills, MI 48331-3205 | 2009-08-11 |
| 1447414511 | Husan Ara Rahman | Clinic/Center | 6060 W Bristol Rd, Mc 485-542-250, Flint, MI 48554-0001 | 2008-07-17 |
| 1578727467 | Rehab Focus, Incorporated | Clinic/Center | 820 Center St, Owosso, MI 48867-1416 | 2008-07-10 |
| 1518046598 | Michigan State University | Clinic/Center | 804 Clinical Center, A114, East Lansing, MI 48824-1313 | 2006-11-02 |
| 1255347068 | Spectrum Health Hospitals | Clinic/Center | 973 Ottawa Ave Nw, Attn: Pat Poling, Grand Rapids, MI 49503-1431 | 2006-08-01 |
| 1689690125 | Hackley Hospital | Clinic/Center | 117 W Colby St, Whitehall, MI 49461-1014 | 2006-07-15 |
| 1336700608 | Hurley Medical Center | Clinic/Center | 1 Hurley Plz, Flint, MI 48503-5902 | 2019-06-26 |
| 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.