Organization Active NPI

Level One Surgical Specialists PC

  • Surgery Physician
  • Royal Oak, MI
National Provider Identifier
1104978949
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LEVEL ONE SURGICAL SPECIALISTS PC
Practice address
3535 W 13 Mile Road
#204
Royal Oak, MI 48073-6770
Phone
(248) 551-9090
Fax
(248) 551-9080
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Miss Heidemarie Orloff
Title
Office Manager
Phone
(248) 551-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3535 W 13 Mile Road
#204
Royal Oak, MI 48073-6770

Mailing address

3535 W 13 Mile Road
Royal Oak, MI 48073-6770
Phone (248) 551-9090

Other identifiers 2

IdentifierTypeStateIssuer
0206301911OtherMIBCBS
103323785MedicaidMI

National Provider Directory

National Provider Directory

Locations

3535 W 13 Mile Rd
Ste 204
Royal Oak, MI 48073
Phone (248) 551-9090

3535 W 13 Mile Rd
#204
Royal Oak, MI 48073
Phone (248) 551-9090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1104978949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE ROAD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-9090",
            "fax_number": "248-551-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE ROAD",
            "address_2": "#204",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-9090",
            "fax_number": "248-551-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL ONE SURGICAL SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "ORLOFF",
        "authorized_official_first_name": "HEIDEMARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-551-9090",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0206301911",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103323785",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.