Individual provider Active NPI

James Henry McQuiston, D.O.

  • Surgery Physician
  • Macomb Township, MI
National Provider Identifier
1053302091
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101008641 Issued in MI
Practice address
17375 Hall Rd
Macomb Township, MI 48044-4060
Phone
(586) 228-0550
Fax
(586) 228-8125
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101008641 MI Primary

Addresses

Primary practice location

17375 Hall Rd
Macomb Township, MI 48044-4060

Mailing address

17375 Hall Rd
Macomb Township, MI 48044-4060
Phone (586) 228-0550

Other identifiers 1

IdentifierTypeStateIssuer
1912266MedicaidMI

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511001377 MI Practitioner - General Surgery 2163410606 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Trauma Care PCGroup PAC ID 3173691771, 10 clinicians
McLaren MacombGroup PAC ID 8921912791, 131 clinicians
Northeast Surgical Group PCGroup PAC ID 1355339870, 3 clinicians

Practice addresses (Care Compare)

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-3814

17375 Hall Rd
Macomb, MI 48044-4060
Phone (586) 228-0550

37399 Garfield Rd
Clinton Township, MI 48036-3672

Hospital & facility affiliations

  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Pathology Services PC Current Accepting new patients
McLaren Thumb Region Current Accepting new patients
Regional Trauma Care PC Surgery CurrentSince Sep 1, 2008 Accepting new patients
McLaren Thumb Region CurrentSince May 1, 2022 Accepting new patients
McLaren Thumb Region CurrentSince May 1, 2022 Accepting new patients
McLaren Macomb PastSince Jun 1, 2004 Accepting new patients

Locations

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

Organizations & group practices 9

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1053302091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17375 HALL RD",
            "city": "MACOMB TOWNSHIP",
            "state": "MI",
            "postal_code": "480444060",
            "telephone_number": "586-228-0550",
            "fax_number": "586-228-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17375 HALL RD",
            "city": "MACOMB TOWNSHIP",
            "state": "MI",
            "postal_code": "480444060",
            "telephone_number": "586-228-0550",
            "fax_number": "586-228-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUISTON",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101008641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912266",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb Township, MI

Sources for this page

Verify at the official NPI Registry.