NPIMap

Organization Active NPI

Lloyd and Boccaccio MD PC

Doing business as St Clair Surgical Specialists

  • Specialist
  • Grosse Pointe Woods, MI
National Provider Identifier
1326179730
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LLOYD AND BOCCACCIO MD PC
Doing business as
St Clair Surgical Specialists
Practice address
19229 Mack Ave
Suite 38
Grosse Pointe Woods, MI 48236-2858
Phone
(313) 885-1520
Fax
(313) 647-3995
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Laila Goltz
Title
Office Manager
Phone
(313) 647-3924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

19229 Mack Ave
Suite 38
Grosse Pointe Woods, MI 48236-2858

Mailing address

19229 Mack Ave
Suite 38
Grosse Pointe Woods, MI 48236-2858
Phone (313) 885-1520

Other names 1

  • ST CLAIR SURGICAL SPECIALISTS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1326179730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE",
            "address_2": "SUITE 38",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362858",
            "telephone_number": "313-885-1520",
            "fax_number": "313-647-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE",
            "address_2": "SUITE 38",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362858",
            "telephone_number": "313-885-1520",
            "fax_number": "313-647-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD AND BOCCACCIO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "GOLTZ",
        "authorized_official_first_name": "LAILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-647-3924"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST CLAIR SURGICAL SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.