Surgical Specialist PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL SPECIALIST PC

Practice address

844 S Main St
Lapeer, MI 48446-3027

Phone

(810) 664-4100

Fax

(810) 664-9250

NPI assigned

Mar 5, 2007

Last updated

Dec 6, 2013By 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

Ms. Susan Gilbert

Title

Office Manager

Phone

(810) 664-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1659400513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 S MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463027",
            "telephone_number": "810-664-4100",
            "fax_number": "810-664-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 S MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463027",
            "telephone_number": "810-664-4100",
            "fax_number": "810-664-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-664-4100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL4629",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.