Organization Active NPI

Cukrowski Surgery Center PC

Doing business as East Michigan Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Flint, MI
National Provider Identifier
1518052380
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
256815 Issued in MI
Legal business name
CUKROWSKI SURGERY CENTER PC
Doing business as
East Michigan Surgery Center
Practice address
701 S Ballenger Hwy
Flint, MI 48532-3804
Phone
(810) 238-3603
Fax
(810) 767-5194
NPI assigned
Oct 4, 2006
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Dr. Christopher F Cukrowski, DONPI 1912991845
Title
President
Phone
(810) 238-3603

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 256815 MI Primary

Addresses

Primary practice location

701 S Ballenger Hwy
Flint, MI 48532-3804

Mailing address

701 S Ballenger Hwy
Flint, MI 48532-3804
Phone (810) 238-3603

Other identifiers 2

IdentifierTypeStateIssuer
P00303573OtherMIPALMETTO GBA RAILROAD MEDICARE
40027OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN

Other names 1

  • East Michigan Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060307000595 MI Part B Supplier - Ambulatory Surgical Center 3870500408 Practice locations: Flint, MI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Cukrowski Surgery Center PCCCN 23C0001017
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0951436Cukrowski Surgery Center PC701 S Ballenger Highway, Flint, MI 48532Certificate of waiverSep 17, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1518052380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323804",
            "telephone_number": "810-238-3603",
            "fax_number": "810-767-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323804",
            "telephone_number": "810-238-3603",
            "fax_number": "810-767-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUKROWSKI SURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "CUKROWSKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-238-3603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "256815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "P00303573",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "40027",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Michigan Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Michigan Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.