Active NPI
Clinton Partners, LLC
Doing business as Surgery Center of Clinton Township
- Ambulatory Surgical Clinic/Center
- Clinton Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Michigan
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1094585 | Clinton Partners LLC | Certificate of waiver | Jan 21, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Clinical Pathology/Laboratory Medicine Physician
- Detroit, MI
- NPI 1336223635
Member Of
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.
-
- Orthopaedic Surgery Physician
- Troy, MI
- NPI 1962452524
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
- Clinton Care Pharmacy LLC
- Clinton Diagnostic, LLC
- Clinton Fitness Inc (Powerhouse Gym Macomb)
- Clinton Medical Pharmacy (mgt investments enterprises llc)
- Clinton Pain and Anesthesia PLC
- Clinton RX
- Clinton Township Chiropractic PC
- Clinton Township Dialysis LLC (Clinton Township Dialysis)
- Clinton Urgent Care Walk-in Clinic
- James E Clinton, D.O.
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.