MACOMB GENERAL AND VASCULAR SURGERY, P.L.C. (NPI# 1689832917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689832917 |
| Entity Type | Organization |
| Organization Name | MACOMB GENERAL AND VASCULAR SURGERY, P.L.C. |
| Practice Address |
37399 Garfield Rd Ste. 204 Clinton Township MI 48036-3672 |
| Practice Telephone | 5864214204 |
| Mailing Telephone | 5864214204 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2014-04-29 |
| Authorized Official Name | DR. LYNN LOUISE MATHIA (PRESIDENT) |
| Authorized Official Telephone | 5864214204 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 5101011684 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
37399 GARFIELD RD STE. 204 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48036-3672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255775300 | Hassan I Baydoun | Internal Medicine | 37399 Garfield Rd, Ste 106, Clinton Township, MI 48036-3672 | 2013-04-19 |
| 1487909545 | Sharon R. Rose Lmsw Caac Counseling Services LLC | Counselor | 37399 Garfield Rd, Suite 200 A, Clinton Township, MI 48036-3672 | 2012-07-16 |
| 1396012597 | Colleen Erin Vandermeer | Psychologist | 37399 Garfield Rd, Suite 200, Clinton Township, MI 48036-3672 | 2011-11-17 |
| 1366670127 | Hamilton Psychological Services | Psychologist | 37399 Garfield Rd, Suite 200, Clinton Township, MI 48036-3672 | 2009-06-30 |
| 1346487709 | Maja Maloney | Physician Assistant | 37399 Garfield Rd, Suite 104, Clinton Township, MI 48036-3672 | 2009-01-07 |
| 1336195809 | Lprls, Plc | Clinic/Center | 37399 Garfield Rd, Suite 203, Clinton Township, MI 48036-3659 | 2006-05-26 |
| 1518929843 | Andrew M. Rosenfeld | Internal Medicine | 37399 Garfield Rd, Suite 104, Clinton Township, MI 48036-3672 | 2006-04-03 |
| 1265494595 | Bruce S. Kovan | Internal Medicine | 37399 Garfield Rd, Suite 104, Clinton Township, MI 48036-3672 | 2006-04-03 |
| 1285695932 | Tri-county Gastroenterology, PC | Internal Medicine | 37399 Garfield Rd, Suite 104, Clinton Township, MI 48036-3672 | 2006-03-31 |
| 1003877721 | Joseph C. O'laughlin | Internal Medicine | 37399 Garfield Rd, Suite 104, Clinton Township, MI 48036-3672 | 2006-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| 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 |
|---|---|---|---|---|
| 1538470067 | Joseph Cuppari | Surgery | 37400 Garfield Rd Ste 120, Clinton Township, MI 48036-3648 | 2010-06-30 |
| 1780879502 | Travis Reed | Surgery | 36500 S Gratiot Ave Ste 102, Clinton Township, MI 48035-1772 | 2007-09-14 |
| 1538353172 | David Y Cho Md PC | Surgery | 15610 Lakeside Village Dr, Apt 105, Clinton Township, MI 48038-6027 | 2007-08-28 |
| 1316031339 | Surgical Associates of Macomb, Plc | Surgery | 43331 Commons Dr, Clinton Township, MI 48038-1109 | 2006-10-03 |
| 1700415643 | Shyamal Pansuriya | Surgery | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-03 |
| 1598394306 | Archana Chandrashekar | Surgery | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-03 |
| 1639707458 | Philip Soni Chacko | Surgery | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-03-28 |
| 1932631314 | Robert Joseph Acho | Surgery | 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2017-04-03 |
| 1265842751 | Jeffrey William Maendel | Surgery | 15855 19 Mile Road, Clinton Township, MI 48038 | 2014-05-06 |
| 1275760902 | Candida A Ferguson | Surgery | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2009-06-20 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48036 |
Please comment or provide details below to improve the information on MACOMB GENERAL AND VASCULAR SURGERY, P.L.C..
| 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.