NPIMap

Organization Active NPI

Mercy Professional Services

Doing business as Surgial Services

  • Surgery Physician
  • Cadillac, MI
National Provider Identifier
1619114386
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MERCY PROFESSIONAL SERVICES
Doing business as
Surgial Services
Practice address
400 Hobart St
Cadillac, MI 49601-2331
Phone
(231) 876-7200
NPI assigned
Jan 16, 2009
Last updated
Nov 30, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY HEALTH-MICHIGANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
John L Macleod
Title
Ceo
Phone
(231) 876-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

400 Hobart St
Cadillac, MI 49601-2331

Mailing address

PO Box 533
Grayling, MI 49738-0533

Other names 1

  • Surgial Services Doing business as

National Provider Directory

National Provider Directory
Part of
Mercy Health Center

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1619114386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 533",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497380533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012331",
            "telephone_number": "231-876-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PROFESSIONAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH-MICHIGAN",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "MACLEOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-876-7200"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgial Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.