Organization Active NPI

Battle Creek Surgical, PC

  • Surgery Physician
  • Battle Creek, MI
National Provider Identifier
1275727331
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
51010126660 Issued in MI
Legal business name
BATTLE CREEK SURGICAL, PC
Practice address
215 E Roosevelt Ave
Battle Creek, MI 49037-2828
Phone
(269) 969-6126
Fax
(269) 969-6136
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Ms. Bridgett Frankenstein
Title
Manager
Phone
(269) 969-6126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 51010126660 MI Primary

Addresses

Primary practice location

215 E Roosevelt Ave
Battle Creek, MI 49037-2828

Mailing address

215 E Roosevelt Ave
Battle Creek, MI 49037-2828
Phone (269) 969-6126

Other identifiers 2

IdentifierTypeStateIssuer
4710095MedicaidMI
0251311764OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

215 Roosevelt Ave E
Battle Creek, MI 49037
Phone (269) 969-6126

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1275727331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E ROOSEVELT AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372828",
            "telephone_number": "269-969-6126",
            "fax_number": "269-969-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E ROOSEVELT AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372828",
            "telephone_number": "269-969-6126",
            "fax_number": "269-969-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTLE CREEK SURGICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "FRANKENSTEIN",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "269-969-6126",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "51010126660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4710095",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0251311764",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.