Northwest Critical Care Surgeons, PLLC

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

4301051142 Issued in MI

Legal business name

NORTHWEST CRITICAL CARE SURGEONS, PLLC

Practice address

27209 Lahser Rd
Suite 128
Southfield, MI 48034-8401

Phone

(248) 353-0200

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Atwal Mandip, MD

Title

Manager

Phone

(248) 353-0200

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mandip S Atwal, DO

  • Surgery Physician
  • Mount Clemens, MI
  • NPI 1972573061

  Surgical Critical Care

  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1194760280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44047",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482440047",
            "telephone_number": "248-543-8070",
            "fax_number": "248-543-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27209 LAHSER RD",
            "address_2": "SUITE 128",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348401",
            "telephone_number": "248-353-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CRITICAL CARE SURGEONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "MANDIP",
        "authorized_official_first_name": "ATWAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-353-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "4301051142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Critical Care Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Surgical Critical Care Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.