Active NPI
Synergy Spine and Orthopedic Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SYNERGY SPINE AND ORTHOPEDIC SURGERY CENTER, LLC
- Practice address
- 5504 E 12 Mile Rd
Warren, MI 48092-4684 - Phone
- (586) 838-2035
- NPI assigned
- Oct 18, 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
- Kathryn Mary Pring
- Title
- Vice-President of Operations
- Phone
- (586) 439-6314
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
5504 E 12 Mile Rd
Warren, MI 48092-4684
Mailing address
5504 West 12 Mile Road
Warren, MI 48092
Phone (586) 838-2035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130517000559 | MI | Part B Supplier - Ambulatory Surgical Center | 2264679885 |
Receives reassigned benefits from 7 practitioners Practice locations: Warren, MI |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Synergy Spine and Orthopedic Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2054397 | Synergy Spine & Orthopedic Surgery Center, LLC | Certificate of waiver | Feb 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
5504 E 12 Mile Rd
Warren, MI 48092
Phone (586) 439-6242
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Warren, MI
- NPI 1912179979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703116800000",
"number": "1104179878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5504 WEST 12 MILE ROAD",
"city": "WARREN",
"state": "MI",
"postal_code": "48092",
"telephone_number": "586-838-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5504 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480924684",
"telephone_number": "586-838-2035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY SPINE AND ORTHOPEDIC SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-18",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A",
"authorized_official_last_name": "PRING",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "VICE-PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "586-439-6314"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.