Organization Active NPI

Mercy Surgical Care

  • Surgery Physician
  • Cadillac, MI
National Provider Identifier
1366762569
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MERCY SURGICAL CARE
Practice address
927 S Carmel St
Cadillac, MI 49601-2547
Phone
(231) 876-3876
Fax
(231) 775-1115
NPI assigned
Jun 10, 2010
Last updated
Jun 10, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HOSPITAL CADILLACAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
John L Macleod
Title
Chief Executive Office
Phone
(231) 876-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

927 S Carmel St
Cadillac, MI 49601-2547

Mailing address

PO Box 369
Cadillac, MI 49601-0369

National Provider Directory

National Provider Directory
Part of
Mercy Hospital Cadillac

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1366762569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496010369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S CARMEL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012547",
            "telephone_number": "231-876-3876",
            "fax_number": "231-775-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SURGICAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITAL CADILLAC",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "MACLEOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "231-876-7200"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.