Active NPI
Mso Physicians
- Surgery Physician
- Warren, MI
National Provider Identifier
1124139639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MSO PHYSICIANS
- Practice address
- 2449 E 12 Mile Rd
Warren, MI 48092-5647 - Phone
- (586) 558-8435
- NPI assigned
- Aug 31, 2006
- 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
- Michelle Youngs
- Title
- Billing
- Phone
- (847) 374-5316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
2449 E 12 Mile Rd
Warren, MI 48092-5647
Mailing address
2333 Waukegan Rd
Suite175
Bannockburn, IL 60015-5508
Phone (847) 267-0801
National Provider Directory
National Provider DirectoryLocations
2333 Waukegan Rd
Ste 175
Bannockburn, IL 60015
Phone (847) 267-0441
1971 Solutions Ctr
Chicago, IL 60677
131 Spring St
New York, NY 10012
Phone (212) 966-7007
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Saint Clair Shores, MI
- NPI 1154391381
-
- Surgery Physician
- Traverse City, MI
- NPI 1912996166
-
- Surgery Physician
- Ypsilanti, MI
- NPI 1386621407
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Buffalo, NY
- NPI 1194707372
-
- Surgery Physician
- New York, NY
- NPI 1578843066
-
- Surgery Physician
- Red Bluff, CA
- NPI 1952351777
-
- Surgery Physician
- Tinley Park, IL
- NPI 1467450122
-
- Surgery Physician
- Harvey, IL
- NPI 1043217078
-
- Surgery Physician
- Las Vegas, NV
- NPI 1144284670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124139639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 WAUKEGAN RD",
"address_2": "SUITE175",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600155508",
"telephone_number": "847-267-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480925647",
"telephone_number": "586-558-8435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MSO PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YOUNGS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "847-374-5316"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.