Active NPI
Select Surgical PLLC
- Surgery Physician
- Mount Clemens, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101008358
- Legal business name
- SELECT SURGICAL PLLC
- Practice address
- 1030 Harrington St
103
Mount Clemens, MI 48043-2967 - Phone
- (586) 466-6230
- Fax
- (586) 493-3828
- NPI assigned
- Feb 21, 2009
- 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
- Stephen D Cahill, D.O.
- Title
- President
- Phone
- (586) 466-6230
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 | 5101008358 | MI | Primary |
Addresses
Primary practice location
1030 Harrington St
103
Mount Clemens, MI 48043-2967
Mailing address
1030 Harrington St
103
Mount Clemens, MI 48043-2967
Phone (586) 466-6230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1030 Harrington St
Ste 1
Mount Clemens, MI 48043
Phone (586) 466-6230
1030 Harrington St
Ste 103
Mount Clemens, MI 48043
Phone (586) 466-6230
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Mount Clemens, MI
- NPI 1295725620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461110400000",
"number": "1457591174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 HARRINGTON ST",
"address_2": "103",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432967",
"telephone_number": "586-466-6230",
"fax_number": "586-493-3828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 HARRINGTON ST",
"address_2": "103",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432967",
"telephone_number": "586-466-6230",
"fax_number": "586-493-3828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT SURGICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-21",
"last_updated": "2016-04-20",
"status": "A",
"authorized_official_last_name": "CAHILL",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-466-6230",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MI",
"license": "5101008358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.