Active NPI
Lucia Zamorano MD PLC
Doing business as Michigan Brain and Spine Surgery Center
- Neurological Surgery Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- LUCIA ZAMORANO MD PLC
- Doing business as
- Michigan Brain and Spine Surgery Center
- Practice address
- 5107 Rochester Rd
Troy, MI 48085-3426 - Phone
- (248) 723-2477
- Fax
- (248) 681-3209
- NPI assigned
- Apr 17, 2006
- Last updated
- Jun 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lucia J Zamorano, MD
- Title
- Managing Agent/Owner
- Phone
- (248) 723-2477
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
5107 Rochester Rd
Troy, MI 48085-3426
Mailing address
2004 Hazel St
Birmingham, MI 48009-6807
Phone (248) 723-2477
Other practice location 1
2004 Hazel St
Birmingham, MI 48009-6807
Phone (248) 723-2477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104779750 | Medicaid | MI |
Other names 1
- Michigan Brain and Spine Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2074530 | Michigan Brain and Spine Surgery Center | Certificate of waiver | Mar 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
4160 John R St
Ste 730
Detroit, MI 48201
Phone (313) 831-7000
5131 Rochester Rd
Troy, MI 48085
Phone (248) 723-2477
2300 Haggerty Rd
West Bloomfield, MI 48323
Phone (248) 863-9254
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Neurological Surgery Physician
- Birmingham, MI
- NPI 1770549107
-
- Neuromusculoskeletal Medicine & OMM Physician
- Grand Blanc, MI
- NPI 1851465025
-
- Physical Therapist
- Farmington Hills, MI
- NPI 1417169798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1407811243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 HAZEL ST",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480096807",
"telephone_number": "248-723-2477",
"fax_number": "248-681-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5107 ROCHESTER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480853426",
"telephone_number": "248-723-2477",
"fax_number": "248-681-3209"
}
],
"practiceLocations": [
{
"address_1": "2004 Hazel St",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "MI",
"postal_code": "480096807",
"country_code": "US",
"telephone_number": "248-723-2477",
"fax_number": "248-681-3209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LUCIA ZAMORANO MD PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-17",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A",
"authorized_official_last_name": "ZAMORANO",
"authorized_official_first_name": "LUCIA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGING AGENT/OWNER",
"authorized_official_telephone_number": "248-723-2477",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104779750",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Michigan Brain and Spine Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Michigan Brain and Spine Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.