Active NPI
Northwest Surgical Associates PC
- Surgery Physician
- Southfield, MI
National Provider Identifier
1710040068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- NORTHWEST SURGICAL ASSOCIATES PC
- Practice address
- 27209 Lahser
Suite 128
Southfield, MI 48034-8402 - Phone
- (248) 353-0200
- Fax
- (243) 353-1513
- NPI assigned
- Dec 18, 2006
- 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
- Allen J Telmos, MD
- Title
- President
- Phone
- (248) 353-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
27209 Lahser
Suite 128
Southfield, MI 48034-8402
Mailing address
27209 Lahser
Suite 128
Southfield, MI 48034-8402
Phone (248) 353-0200
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 |
|---|---|---|---|
| 23D0900528 | Northwest Surgical Associates | Certificate of waiver | Apr 27, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
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
- Mount Clemens, MI
- NPI 1972797058
-
- Trauma Surgery Physician
- Southfield, MI
- NPI 1528000502
-
- Surgery Physician
- Clinton Township, MI
- NPI 1497862478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207180800000",
"number": "1710040068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27209 LAHSER",
"address_2": "SUITE 128",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480348402",
"telephone_number": "248-353-0200",
"fax_number": "243-353-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27209 LAHSER",
"address_2": "SUITE 128",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480348402",
"telephone_number": "248-353-0200",
"fax_number": "243-353-1513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST SURGICAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2008-04-03",
"status": "A",
"authorized_official_last_name": "TELMOS",
"authorized_official_first_name": "ALLEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-353-0200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Northwest Detroit Dialysis Center LLC
- Northwest Eye Physicians, P.C.
- Northwest Home Health Services Inc (Metro Home Care)
- Northwest Neurology PC (Northwest Neurology and Neurodiagnostic Center)
- Northwest Ophthalmology,PC
- Northwestern Psychiatry & Counseling Center PC
- Northwestern Rehabilitation Services LLC
- Northwestern Rehabilitation Services. LLC
- Northwestern RX, P.C. (Northwestern Pharmacy)
- Paige Norwick
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.