MPS ASC Ventures Inkster, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MPS ASC VENTURES INKSTER, LLC

Doing business as

MiOrtho Surgery Center

Practice address

29110 Inkster Rd Ste 100
Southfield, MI 48034-1085

Phone

(248) 234-9300

Fax

(248) 234-9301

NPI assigned

Dec 13, 2021

Last updated

Dec 13, 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

Dr. Gregory V Sobol, MDNPI 1649248931

Title

Managing Member

Phone

(248) 234-9300

Specialties & licenses 1

Addresses

Other names 1

• MiOrtho Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

MPS ASC Ventures Inkster LLC Dba Miortho Surgery CenterCCN 23C0001129

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Victor Sobol, MD

  • Orthopaedic Surgery Physician
  • Beverly Hills, MI
  • NPI 1649248931
  NPD Authorized official

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1376202895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29110 INKSTER RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341085",
            "telephone_number": "248-234-9300",
            "fax_number": "248-234-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29110 INKSTER RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341085",
            "telephone_number": "248-234-9300",
            "fax_number": "248-234-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPS ASC VENTURES INKSTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "SOBOL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "248-234-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MiOrtho Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Moussa, DPM
• Blake Ryan Movitz, M.D.
• Brooke Caroline Mower, MD
• Jasmine Moyer
• Mark Mozee
• Ms Counseling Services LLC
• Zaher Msallaty, MD
• MSP Pharmacy .Com
• Pooja Jagdish Mude, DO
• Amy Mueller, DPT

• Ambulatory Surgical Clinic/Center in Southfield, MI
• Providers in Southfield, 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 Dec 13, 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.