Precision Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PRECISION SURGERY CENTER, LLC

Practice address

22701 Hall Road
Macomb, MI 48042

Phone

(916) 698-4700

NPI assigned

Apr 29, 2020

Organization subpart

No

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

Authorized official

Name

Todd Borst

Title

Ceo

Phone

(916) 698-4700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Precision Surgery CenterCCN 23C0001148

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1235750431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22701 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "483482269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22701 HALL ROAD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48042",
            "telephone_number": "916-698-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "BORST",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-698-4700"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Porta, COTAL
• Raquel Potter
• Richard Henry Poupard, DDS
• Jennifer Prantera, LPC
• Cecilly A Pratt, MD
• Premier at Home Hospice & Palliative Care L.L.C
• Premier Foot & Ankle PLLC
• Premier Senior Home Care L.L.C (Premier Senior Home Care)
• Premier Solutions, Inc. (Zounds Hearing)
• Premier Therapy Solutions

• Ambulatory Surgical Clinic/Center in Macomb, MI
• Providers in Macomb, 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 Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.