Michigan Specialty Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MICHIGAN SPECIALTY SURGERY CENTER, LLC

Practice address

6886 Sashabaw Road
Clarkston, MI 48348-4732

Phone

(248) 707-3112

Fax

(248) 707-3113

NPI assigned

Dec 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Amir-Kianoosh Fallahi, MD

Title

Medical Director

Phone

(810) 953-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Michigan Specialty Surgery Center LLCCCN 23C0001156

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

Practitioners 1

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

• Joseph Ward, MD

  • Orthopaedic Surgery Physician
  • Cadillac, MI
  • NPI 1902127764
  NPD (past)

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1558072629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6886 SASHABAW ROAD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484732",
            "telephone_number": "248-707-3112",
            "fax_number": "248-707-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6886 SASHABAW ROAD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484732",
            "telephone_number": "248-707-3112",
            "fax_number": "248-707-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SPECIALTY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "FALLAHI",
        "authorized_official_first_name": "AMIR-KIANOOSH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "810-953-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Healthcare Professionals, P.C.
• Michigan Healthcare Professionals, P.C.
• Michigan Hematology Oncology, PC
• Michigan Mainstreet Dentistry PLC
• Michigan Orthopedic Rehab
• Mid-Oakland Foot Care, P,L.L.C.
• Sheryl Mifsud, LLP
• Milestones ABA Clinic of Michigan LLC
• Millennium Hi-Tech Rehabilitation Inc.
• Chastidy Miller, LMSW

• 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 Nov 1, 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.