Organization Active NPI

Rochester Surgery Center, P.C.

  • Ambulatory Surgical Clinic/Center
  • Rochester Hills, MI
National Provider Identifier
1104833839
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
636924 Issued in MI
Legal business name
ROCHESTER SURGERY CENTER, P.C.
Practice address
405 Barclay Cir
Rochester Hills, MI 48307-4573
Phone
(248) 293-0800
Fax
(248) 853-3275
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
David Roger Byrd, M.D.
Title
Medical Director/President
Phone
(248) 293-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 636924 MI Primary

Addresses

Primary practice location

405 Barclay Cir
Rochester Hills, MI 48307-4573

Mailing address

405 Barclay Cir
Rochester Hills, MI 48307-4573
Phone (248) 293-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060320000403 MI Part B Supplier - Ambulatory Surgical Center 6103833967 Practice locations: Rochester Hills, MI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Rochester Surgery Center PCCCN 23C0001066
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

405 Barclay Cir
Rochester Hills, MI 48307
Phone (248) 293-0800

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1104833839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BARCLAY CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074573",
            "telephone_number": "248-293-0800",
            "fax_number": "248-853-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BARCLAY CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074573",
            "telephone_number": "248-293-0800",
            "fax_number": "248-853-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER SURGERY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "248-293-0800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "636924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.

Verify at the official NPI Registry.