Organization Active NPI

Clinton Partners, LLC

Doing business as Surgery Center of Clinton Township

  • Ambulatory Surgical Clinic/Center
  • Clinton Township, MI
National Provider Identifier
1649416231
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CLINTON PARTNERS, LLC
Doing business as
Surgery Center of Clinton Township
Practice address
43475 Dalcoma Dr
Clinton Township, MI 48038-3591
Phone
(781) 733-2301
Fax
(832) 201-9262
NPI assigned
Jan 2, 2009
Last updated
Mar 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Dr. Tom J. Mertz, MD
Title
President
Phone
(586) 733-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

43475 Dalcoma Dr
Clinton Township, MI 48038-3591

Mailing address

43475 Dalcoma Dr
Clinton Township, MI 48038-3591
Phone (781) 733-2301

Other names 1

  • Surgery Center of Clinton Township Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090304000224 MI Part B Supplier - Ambulatory Surgical Center 0446316293 Practice locations: Clinton Township, MI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Premier Surgical Ctr of MichiganCCN 23C0001108
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
23D1094585Clinton Partners LLC43475 Dalcoma Street Suite 100, Clinton Township, MI 48038Certificate of waiverJan 21, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

43475 Dalcoma Dr
Clinton Twp, MI 48038
Phone (586) 263-5043

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": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1649416231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383591",
            "telephone_number": "781-733-2301",
            "fax_number": "832-201-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383591",
            "telephone_number": "781-733-2301",
            "fax_number": "832-201-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "MERTZ",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-733-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of Clinton Township",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.