Northeast Surgical Associates, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTHEAST SURGICAL ASSOCIATES, PC

Practice address

27150 Ryan Rd
Warren, MI 48092-5124

Phone

(586) 573-3079

NPI assigned

Nov 20, 2006

Last updated

Jun 1, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John JeriusNPI 1306848353

Title

President

Phone

(586) 573-3079

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Jerius, MD

  • Surgery Physician
  • Warren, MI
  • NPI 1306848353
  NPD (past) Authorized official
• Mark Richard Schuster, D.D.S.

  • General Practice Dentistry
  • Warren, MI
  • NPI 1386727345
  NPD (past)
• Richard Walter Schuster, D.D.S.

  • General Practice Dentistry
  • Warren, MI
  • NPI 1720177876
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1003980806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480901048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27150 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925124",
            "telephone_number": "586-573-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "JERIUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-573-3079"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tiffany Norman
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• Northpointe Pediatrics PC (Brian T Engel MD)
• Northpointe Pediatrics, P.C.
• Northport Dentistry PLLC
• Ann Novak, RN

• Surgery Physician in Warren, MI
• Providers in Warren, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.