Active NPI
Cadillac Surgery Center, LLC
- Surgery Physician
- Cadillac, MI
National Provider Identifier
1154208445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CADILLAC SURGERY CENTER, LLC
- Practice address
- 7665 S US 131 Hwy
Cadillac, MI 49601 - Phone
- (231) 876-7411
- NPI assigned
- Aug 19, 2025
- 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
- Peter Edward Marinoff
- Title
- President/Ceo South Reigon
- Phone
- (231) 352-2285
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
7665 S US 131 Hwy
Cadillac, MI 49601
Mailing address
7665 S US 131 Hwy
Cadillac, MI 49601
Phone (231) 876-7411
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 |
|---|---|---|---|
| 23D2338300 | Cadillac Surgery Center, LLC | Certificate of waiver | Feb 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
7665 US Highway 131 S
Cadillac, MI 49601
Phone (231) 876-7411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755561600000",
"number": "1154208445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7665 S US 131 HWY",
"city": "CADILLAC",
"state": "MI",
"postal_code": "49601",
"telephone_number": "231-876-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7665 S US 131 HWY",
"city": "CADILLAC",
"state": "MI",
"postal_code": "49601",
"telephone_number": "231-876-7411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CADILLAC SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-19",
"certification_date": "2025-08-14",
"status": "A",
"authorized_official_last_name": "MARINOFF",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT/CEO SOUTH REIGON",
"authorized_official_telephone_number": "231-352-2285"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.