ASC - Utica

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

506846 Issued in MI

Legal business name

ASC - UTICA

Practice address

11051 Hall Rd Ste 230
Utica, MI 48317-5742

Phone

(586) 254-2280

NPI assigned

Dec 11, 2006

Last updated

Jul 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Melanie Maycock

Title

Administrator

Phone

(586) 254-2280

Specialties & licenses 1

Addresses

Other names 1

• Amerian Surgical Centers Other name

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1215097340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11051 HALL RD",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175735",
            "telephone_number": "586-254-2280",
            "fax_number": "586-254-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11051 HALL RD STE 230",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175742",
            "telephone_number": "586-254-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC - UTICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "MAYCOCK",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-254-2280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "506846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amerian Surgical Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Utica, MI
• Providers in Utica, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.