Lauren Surrock, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006225 Issued in MI

Practice address

154 S Main St Ste 6
Frankenmuth, MI 48734-1692

Phone

(989) 502-1122

Fax

(989) 502-1212

NPI assigned

Oct 5, 2011

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Frankenmuth Medical Associates PLLCGroup PAC ID 7315212966, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: lauren.surrock.1@10871.direct.athenahealth.com
• Direct secure messaging: lsurrock78200@direct.covenanthealthcare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frankenmuth Medical Associates PLLC

  dba Saginaw Medical Associates

  • Family Medicine Physician
  • Frankenmuth, MI
  • NPI 1225547383
  Medicare reassignment Care Compare group Authorized official
• Great Lakes Bay Health Centers

  dba Great Lakes Bay Health Centers Integrated Care Midland

  • Federally Qualified Health Center (FQHC)
  • Midland, MI
  • NPI 1609609536
  NPD (past)
• Great Lakes Bay Health Centers

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
  • NPI 1871684761
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center, Inc.

  dba Covenant Healthcare

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1033493309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 S MAIN ST STE 6",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341692",
            "telephone_number": "989-502-1122",
            "fax_number": "989-502-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 S MAIN ST STE 6",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341692",
            "telephone_number": "989-502-1122",
            "fax_number": "989-502-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486387135",
            "country_code": "US",
            "telephone_number": "989-323-3863",
            "fax_number": "989-502-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURROCK",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033493309",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0M32030",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033493309",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1225547383",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2 - FRANKENMUTH MEDICAL ASSOCIATES",
            "identifier": "1225547383",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M23560368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Somerville
• Rhonda Sommers
• Donald Mason Spencer II
• Sports and Regenerative Medicine PLLC (STEM Health Systems)
• Annette Street, RN
• Wendy R. Szczepanski, L.P.C.
• Carmen C Szilagyi, M.D.
• Taryn Michal Taugher, PSY.S.
• Tendercare (Michigan) Inc. (Tendercare Health Center of Frankenmuth)
• The Urgent Care PC (Frankenmuth Urgent Care)

• Physician Assistant in Frankenmuth, MI
• Providers in Frankenmuth, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.