The Surgical Institute of Monroe Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC

Doing business as

Surgical Institute of Monroe

Practice address

1051 S Telegraph Rd
Monroe, MI 48161-5514

Phone

(734) 244-5383

Fax

(734) 682-3627

NPI assigned

Dec 5, 2010

Last updated

Aug 27, 2021By 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

Mrs. Amy Soule

Title

Office Manager

Phone

(734) 869-8703

Specialties & licenses 1

Addresses

Other names 1

• Surgical Institute of Monroe Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Surgical Institute of MonroeCCN 23C0001114

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": "1291507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1326340852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 S TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481615514",
            "telephone_number": "650-799-9200",
            "fax_number": "916-290-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 S TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481615514",
            "telephone_number": "734-244-5383",
            "fax_number": "734-682-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-05",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "SOULE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-869-8703",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Institute of Monroe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgical Institute of Monroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manhar J Tejura, M.D.
• Shelly J. Temperley, MD
• Steven Tennant
• Riann Tennyson, LLMSW
• The Hearing Loss Treatment Center
• The Young Men's Christian Association of Monroe, Michigan (The Monroe Family YMCA)
• Therapy Essentials
• This Iz Me
• April Thomas
• Jean E Thomas, M.D.

• Ambulatory Surgical Clinic/Center in Monroe, MI
• Providers in Monroe, 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 Aug 27, 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.