Dearborn Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

826846 Issued in MI

Legal business name

DEARBORN SURGERY CENTER, LLC

Doing business as

Dearborn Surgery Center

Practice address

18100 Oakwood Blvd
Suite 100
Dearborn, MI 48124-4071

Phone

(313) 253-2000

Fax

(313) 253-2004

NPI assigned

Jun 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Barry M Cullen

Title

Board Manager

Phone

(313) 982-3040

Specialties & licenses 1

Addresses

Other names 1

• Dearborn Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Dearborn Surgery Center LLC Dba Dearborn Surgery CenterCCN 23C0001059

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Visionary Enterprises Inc

  • Prosthetic/Orthotic Supplier
  • Indianapolis, IN
  • NPI 1881902328

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo D Borrego, M.D.

  • Anesthesiology Physician
  • Dearborn, MI
  • NPI 1295776490
  NPD

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1467491407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BLVD",
            "address_2": "SUITE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244071",
            "telephone_number": "313-253-2000",
            "fax_number": "313-253-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BLVD",
            "address_2": "SUITE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244071",
            "telephone_number": "313-253-2000",
            "fax_number": "313-253-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BOARD MANAGER",
        "authorized_official_telephone_number": "313-982-3040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "826846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dearborn Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dearborn Rehabilitation Inc
• Dearborn RX Pharmacy LLC
• Dearborn Sleep Lab LLC
• Dearborn Specialty Pharmacy Inc
• Dearborn Spine Center PLLC
• Dearborn Surgical Associates P.C.
• Dearborn Therapy and Rehab Services
• Dearborn Urgent Care PC
• Dearborn Urgent Care PC
• Sarah Debs, CNM

• Ambulatory Surgical Clinic/Center in Dearborn, MI
• Providers in Dearborn, 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 Oct 20, 2009; 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.