MICHIGAN SURGERY SPECIALISTS, P.C. (NPI# 1184828451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184828451 |
| Entity Type | Organization |
| Organization Name | MICHIGAN SURGERY SPECIALISTS, P.C. |
| Practice Address |
11012 E 13 Mile Rd Ste 112 Warren MI 48093-2546 |
| Mailing Address |
29900 Lorraine Ave Suite 400 Warren MI 48093-5266 |
| Practice Telephone | 5867513380 |
| Practice Fax Number | 5867510950 |
| Mailing Telephone | 5865820864 |
| Mailing Fax Number | 5865820964 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | DANIEL ODDO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5868068726 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS GROUP # | 700E063760 | 01 |
| MI | MEDICARE | OEO6376 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 37650 Professional Center Dr, Livonia, MI 481541197 | 7349433838 | |
| 11012 E 13 Mile Rd Ste 201, Warren, MI 480932547 | 5865820760 | 5865825729 |
| 3100 Cross Creek Pkwy Ste 150, Auburn Hills, MI 483262777 | 2484750502 | 2484750584 |
| 19725 Allen Rd Ste A, Brownstown Twp, MI 481831090 | 5867513380 | |
| 22731 Newman St Ste 100a, Dearborn, MI 481242031 | 3135614910 | 3135618561 |
| 18245 E 10 Mile Rd Ste 130, Roseville, MI 480665807 | 5867743100 | 5867744201 |
| 50505 Schoenherr Rd Ste 120, Shelby Township, MI 483153140 | 8554502020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520507 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 19725 Allen Rd Ste B, Brownstown Twp, MI 48183-1090 | 2019-10-24 |
| 1720559792 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 11012 E 13 Mile Rd Ste 201, Warren, MI 48093-2547 | 2018-12-17 |
| 1811468184 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 18245 E 10 Mile Rd Ste 130, Roseville, MI 48066-5807 | 2018-12-16 |
| 1407327778 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 3100 Cross Creek Pkwy Ste 150, Auburn Hills, MI 48326-2777 | 2018-12-16 |
| 1427603489 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 50505 Schoenherr Rd Ste 250, Shelby Township, MI 48315-3141 | 2019-08-07 |
| 1255802526 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 11012 E 13 Mile Rd Ste 112, Warren, MI 48093-2546 | 2018-12-16 |
| 1881165157 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 22731 Newman St Ste 100a, Dearborn, MI 48124-2031 | 2018-12-16 |
| 1750877627 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 22731 Newman St Ste 100b, Dearborn, MI 48124 | 2018-07-03 |
| 1831685700 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 37650 Professional Center Dr Ste 105a, Livonia, MI 48154 | 2018-07-03 |
| 1205322112 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 3100 Cross Creek Pkwy Ste 150, Auburn Hills, MI 48326 | 2018-07-03 |
| Street Address |
11012 E 13 MILE RD STE 112 |
| City | WARREN |
| State | MI |
| Zip Code | 48093-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255802526 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 11012 E 13 Mile Rd Ste 112, Warren, MI 48093-2546 | 2018-12-16 |
| 1265660062 | Jeremy Ryan Ciullo | Surgery | 11012 E 13 Mile Rd Ste 112, Warren, MI 48093 | 2009-06-30 |
| 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 | 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 |
|---|---|---|---|---|
| 1801182274 | Justin Charles Brower | Surgery | 103 W Saint Clair St Rm 2e, Warren, PA 16365-2188 | 2011-06-23 |
| 1760799431 | Joseph Alvin Martin | Surgery | 627 Eastland Ave Se Ste 201, Warren, OH 44484-4501 | 2010-09-01 |
| 1184814303 | Martin Quiroga | Surgery | 27101 Schoenherr Rd Ste 200, Warren, MI 48088 | 2007-07-25 |
| 1578655049 | Keith N Marshall | Surgery | 3272 E. 12 Mile Road, Suite 102, Warren, MI 48092 | 2006-09-29 |
| 1124139639 | Mso Physicians | Surgery | 2449 E 12 Mile Rd, Warren, MI 48092-5647 | 2006-08-31 |
| 1760439459 | Narendra Devisinh Gohel | Surgery | 27472 Schoenherr Rd Ste 108, Warren, MI 48088-6687 | 2006-05-28 |
| 1770536591 | Philip S Vuocolo | Surgery | 103 W Saint Clair St Rm 2d, Warren, PA 16365 | 2006-05-19 |
| 1154389047 | Marc S Saunders D.o. | Surgery | 3915 E Market St, Warren, OH 44484-4710 | 2006-05-02 |
| 1811970338 | William R Henwood | Surgery | 1353 E Market St, Suite 302, Warren, OH 44483-6637 | 2005-11-29 |
| 1952382418 | Ronald Nazem Khoury | Surgery | 8790 E Market St, Ste 100, Warren, OH 44484-2360 | 2005-11-10 |
| Find all providers in WARREN | ||||
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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.