Michigan Colon & Rectal Surgeons, PC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

MICHIGAN COLON & RECTAL SURGEONS, PC

Practice address

18161 W 13 Mile Rd
Suite A1
Southfield, MI 48076-1113

Phone

(248) 644-3711

Fax

(248) 644-2864

NPI assigned

Jul 10, 2006

Last updated

May 21, 2009By 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

Ginger G Kleinert

Title

Office Manager

Phone

(248) 644-3711

Specialties & licenses 1

Addresses

Other names 1

• mcrs Other name

Locations

Practitioners 1

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.

• Jordy Steven Sacksner, M.D.

  • Surgery Physician
  • West Bloomfield, MI
  • NPI 1962563056

  Colon & Rectal Surgery

  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1093749095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 W 13 MILE RD.",
            "address_2": "SUITE B-1",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-644-3711",
            "fax_number": "248-644-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 W 13 MILE RD",
            "address_2": "SUITE A1",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761113",
            "telephone_number": "248-644-3711",
            "fax_number": "248-644-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN COLON & RECTAL SURGEONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "KLEINERT",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-644-3711"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mcrs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Colon & Rectal Surgery Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Colon & Rectal Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.