Active NPI
Town Center ASC PLLC
- Ambulatory Surgical Clinic/Center
- Troy, MI
National Provider Identifier
1033466933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 63-6958
- Legal business name
- TOWN CENTER ASC PLLC
- Practice address
- 130 Town Center Dr
Suite 130
Troy, MI 48084-1744 - Phone
- (248) 593-9780
- NPI assigned
- Aug 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bonnie Greenblatt, CMA
- Title
- Director of Ambulatory Surgical Ser
- Phone
- (482) 515-5148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 63-6958 | MI | Primary |
Addresses
Primary practice location
130 Town Center Dr
Suite 130
Troy, MI 48084-1744
Mailing address
130 Town Center Dr
Suite 130
Troy, MI 48084-1744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130919000496 | MI | Part B Supplier - Ambulatory Surgical Center | 2668616376 | Practice locations: Troy, MI |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Town Center ASC LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- West Bloomfield, MI
- NPI 1194807693
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- West Bloomfield, MI
- NPI 1487619458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730419200000",
"number": "1033466933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 TOWN CENTER DR",
"address_2": "SUITE 130",
"city": "TROY",
"state": "MI",
"postal_code": "480841744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 TOWN CENTER DR",
"address_2": "SUITE 130",
"city": "TROY",
"state": "MI",
"postal_code": "480841744",
"telephone_number": "248-593-9780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN CENTER ASC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-09",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A",
"authorized_official_last_name": "GREENBLATT",
"authorized_official_first_name": "BONNIE",
"authorized_official_title_or_position": "DIRECTOR OF AMBULATORY SURGICAL SER",
"authorized_official_telephone_number": "482-515-5148",
"authorized_official_credential": "CMA"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MI",
"license": "63-6958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.