Cadillac Surgical Care PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

CADILLAC SURGICAL CARE PC

Practice address

927 Carmel St
Cadillac, MI 49601-2547

Phone

(231) 876-3876

Fax

(231) 775-1115

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Kim Anderson, OFFICE MANAGER

Title

Office Manager

Phone

(231) 876-3876

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1295769024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 CARMEL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012547",
            "telephone_number": "231-876-3876",
            "fax_number": "231-775-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 CARMEL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012547",
            "telephone_number": "231-876-3876",
            "fax_number": "231-775-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADILLAC SURGICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-876-3876",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDENTIFICATION NUMBER",
            "identifier": "6214400001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cadillac Occupational Medicine
• Cadillac Oral Surgery Assoc
• Cadillac Orthopaedics, PC
• Cadillac Psychological Services, PLLC
• Cadillac Surgery Center, LLC
• Cadillac Wexford Transit Authority
• Michael Caltabiano
• Caitlin Rose Cameron
• Molly Sue Caminata, RN
• Haylea Campbell

• Podiatrist in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.