Specialized Surgeons LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

SPECIALIZED SURGEONS LLC

Practice address

33111 W. Seven Mile Rd.
Livonia,, MI 48152

Phone

(248) 888-8383

Fax

(348) 888-0834

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Kathy Stacey

Title

Office Manager

Phone

(248) 888-8383

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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

• Jorge Autran Martinez, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Madison Heights, MI
  • NPI 1346825247
  Medicare reassignment Care Compare group NPD
• Jeffery McFadden, D.D.S.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Livonia, MI
  • NPI 1831113125
  Medicare reassignment Care Compare group NPD
• Chad Betz, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Livonia, MI
  • NPI 1518013945
  Medicare reassignment Care Compare group
• Robert D Weaver, DPM

  • Podiatrist
  • Mayfield Village, OH
  • NPI 1760461784
  NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1528072303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33111 W. SEVEN MILE RD.",
            "city": "LIVONIA,",
            "state": "MI",
            "postal_code": "48152",
            "telephone_number": "248-888-8383",
            "fax_number": "348-888-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33111 W. SEVEN MILE RD.",
            "city": "LIVONIA,",
            "state": "MI",
            "postal_code": "48152",
            "telephone_number": "248-888-8383",
            "fax_number": "348-888-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "STACEY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-888-8383"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MI",
            "identifier": "OH20333",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spartan Drugs LLC
• Spassova Medical Center PLLC
• Ganka Anguelova Spassova, M.D.
• Jessica Spear
• Specialists in Physical Medicine and Rehabilitation PLC
• Carrie Lynn Speier Schafer, D.O.
• Madeline Ruth Spence
• Lanikia Spencer
• Mishka Spencer, DPT
• Brad Sperry

• Oral & Maxillofacial Surgery (D.M.D.) in Livonia,, MI
• Providers in Livonia,, MI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.

Verify at the official NPI Registry.