Active NPI
Northeast Surgical Group PC
- Surgery Physician
- Macomb, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- NORTHEAST SURGICAL GROUP PC
- Practice address
- 17375 Hall Rd
Macomb, MI 48044-4060 - Phone
- (586) 228-0550
- Fax
- (586) 228-8830
- NPI assigned
- Sep 20, 2006
- Last updated
- Jan 15, 2015
- 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. James Henry McQuiston, DO
- Title
- Managing Partner
- Phone
- (586) 228-0550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MI | Primary |
Addresses
Primary practice location
17375 Hall Rd
Macomb, MI 48044-4060
Mailing address
17375 Hall Rd
Macomb, MI 48044-4060
Phone (586) 228-0550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
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 |
|---|---|---|---|
| 23D0363909 | Northeast Surgical Group PC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Surgery Physician
- Macomb Township, MI
- NPI 1053302091
-
- Surgery Physician
- Troy, MI
- NPI 1710337878
-
- Surgery Physician
- Macomb, MI
- NPI 1487995106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421280000000",
"number": "1700984200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17375 HALL RD",
"city": "MACOMB",
"state": "MI",
"postal_code": "480444060",
"telephone_number": "586-228-0550",
"fax_number": "586-228-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17375 HALL RD",
"city": "MACOMB",
"state": "MI",
"postal_code": "480444060",
"telephone_number": "586-228-0550",
"fax_number": "586-228-8830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST SURGICAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2015-01-15",
"status": "A",
"authorized_official_last_name": "MCQUISTON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "586-228-0550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.