Organization Active NPI

Mso Physicians

  • Surgery Physician
  • Warren, MI
National Provider Identifier
1124139639
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.