Active NPI
Rochester General Surgery PLC
- Surgery Physician
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ROCHESTER GENERAL SURGERY PLC
- Practice address
- 75 Barclay Cir
Suite 200
Rochester Hills, MI 48307-4508 - Phone
- (248) 853-9177
- Fax
- (248) 853-7258
- NPI assigned
- Nov 15, 2006
- Last updated
- Jun 8, 2022
- 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
- Daniel M Sullivan, MD
- Title
- Partner
- Phone
- (248) 853-9177
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MI | Primary |
Addresses
Primary practice location
75 Barclay Cir
Suite 200
Rochester Hills, MI 48307-4508
Mailing address
75 Barclay Cir
Suite 200
Rochester Hills, MI 48307-4508
Phone (248) 853-9177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020F317850 | Other | MI | BLUE CROSS BLUE SHIELD MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5701 Bow Pointe Dr
Ste 265
Clarkston, MI 48346
Phone (248) 384-8030
15959 Hall Rd
Ste 206
Macomb, MI 48044
Phone (248) 813-9677
245 Barclay Cir
Ste 400
Rochester Hills, MI 48307
Phone (248) 853-9177
Practitioners & affiliated clinicians
Practitioners 7
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.
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- Surgery Physician
- Rochester Hills, MI
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- Surgery Physician
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- Surgery Physician
- Rochester Hills, MI
- NPI 1386625440
-
- Surgery Physician
- Rochester Hills, MI
- NPI 1336128008
-
- Surgery Physician
- Rochester Hills, MI
- NPI 1891248134
-
- Surgery Physician
- Rochester Hills, MI
- NPI 1053635946
-
- Physician Assistant
- Rochester Hills, MI
- NPI 1952621450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654646400000",
"number": "1437222965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 BARCLAY CIR",
"address_2": "SUITE 200",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483074508",
"telephone_number": "248-853-9177",
"fax_number": "248-853-7258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BARCLAY CIR",
"address_2": "SUITE 200",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483074508",
"telephone_number": "248-853-9177",
"fax_number": "248-853-7258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCHESTER GENERAL SURGERY PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "248-853-9177",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "020F317850",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
- Rochester Family Care PLC
- Rochester Family Chiropractic, Inc
- Rochester Family Medical Center PC
- Rochester Family Medicine PC
- Rochester Gastroenterology PLLC
- Rochester Hills Ambulatory Care Center PLLC
- Rochester Hills Dental PLLC (North Oaks Dental Sterling Heights)
- Rochester Hills Dentistry PLLC
- Rochester Hills Health Services
- Rochester Hills Health Services P.L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.