Macomb General and Vascular Surgery, P.L.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5101011684 Issued in MI

Legal business name

MACOMB GENERAL AND VASCULAR SURGERY, P.L.C.

Practice address

37399 Garfield Rd
Ste. 204
Clinton Township, MI 48036-3672

Phone

(586) 421-4204

NPI assigned

May 22, 2008

Last updated

Apr 29, 2014By 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

Dr. Lynn Louise Mathia, D.O.NPI 1689672529

Title

President

Phone

(586) 421-4204

Specialties & licenses 1

Addresses

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.

• Lynn Louise Mathia, D.O.

  • Surgery Physician
  • Clinton TWP, MI
  • NPI 1689672529
  Authorized official Same address or phone

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1689832917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD",
            "address_2": "STE. 204",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363672",
            "telephone_number": "586-421-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD",
            "address_2": "STE. 204",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363672",
            "telephone_number": "586-421-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB GENERAL AND VASCULAR SURGERY, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "MATHIA",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-421-4204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101011684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macomb County Community Mental Helath
• Macomb County Pediatrics Dba Clinton Preferred Pediatrics, PC
• Macomb Family Services, Inc
• Macomb Family Services, Inc.
• Macomb Gastroenterology PC
• Macomb Intermediate School District
• Macomb Medical Supply Inc
• Macomb Oakland Regional Center Inc. (Easter Seals-Michigan, Inc)
• Macomb Pharmacy and Wellness
• Macomb Regional Dialysis Centers, L.L.C. (Macomb Regional Dialysis Center)

• 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 Apr 29, 2014; 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.