Michigan Surgical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5101017430 Issued in MI

Legal business name

MICHIGAN SURGICAL GROUP

Practice address

16100 19 Mile Rd Ste 100B
Clinton Township, MI 48038-1148

Phone

(586) 286-0000

Fax

(586) 286-0005

NPI assigned

Nov 2, 2010

Last updated

Jun 22, 2012By 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

Mrs. Allie Galovich, CPC

Title

Biller

Phone

(248) 593-9780

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1649570086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 19 MILE RD STE 100B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381148",
            "telephone_number": "586-286-0000",
            "fax_number": "586-286-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 19 MILE RD STE 100B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381148",
            "telephone_number": "586-286-0000",
            "fax_number": "586-286-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "GALOVICH",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "248-593-9780",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101011584",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101017430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3056329475",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Neuro Diagnostics PC
• Michigan Neurology Associates
• Michigan Physical Medicine and Rehabilitation, P.C.
• Michigan Physical Therapy
• Michigan Rehab Consultant PC
• Michigan Urgent Care
• Blake Mico, LPC
• Midwest Center for Dermatology & Pathology, PLLC
• Midwest Counseling and Consulting LLC
• Amanda Mikho, FNP-BC

• Surgery Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.