Clarkston ASC Partners LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

L1599096 Issued in MI

Legal business name

CLARKSTON ASC PARTNERS LLC

Doing business as

Clarkston Surgery Center

Practice address

5701 Bow Pointe Dr
Suite 145
Clarkston, MI 48346-3163

Phone

(248) 922-4800

Fax

(248) 241-6625

NPI assigned

Oct 8, 2008

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen J Hughes

Title

Authorized Official

Phone

(248) 922-4808

Specialties & licenses 1

Addresses

Other names 1

• CLARKSTON SURGERY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Clarkston Surgery CenterCCN 23C0001109

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 3

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

• Michigan Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Farmington Hills, MI
  • NPI 1629075106

  Member Of

  NPD member
• Baylor University Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1518967231

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  dba Baptist Health System

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

Locations

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.

• Mark Allen Rolain, M.D.

  • Ophthalmology Physician
  • Sterling Heights, MI
  • NPI 1366481855
  NPD

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1528219474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR",
            "address_2": "SUITE 145",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463163",
            "telephone_number": "248-922-4800",
            "fax_number": "248-241-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR",
            "address_2": "SUITE 145",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463163",
            "telephone_number": "248-922-4800",
            "fax_number": "248-241-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSTON ASC PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2024-06-13",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "248-922-4808"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "L1599096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARKSTON SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nora Clancy, O.D.
• Clarity Counseling Services, LLC
• Susan Louise Clark, NP
• Laurel Lucas Clarke
• Abbigayle Ione Clarkson
• Clarkston Chiropractic Clinic P.C.
• Clarkston Chiropractic Sports & Wellness LLC
• Clarkston Comfort Care
• Clarkston Dental Care
• Clarkston Dermatology & Vein Center PLLC

• Ambulatory Surgical Clinic/Center in Clarkston, MI
• Providers in Clarkston, 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 Jun 13, 2024; 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.