NPIMap

Organization Active NPI

Southeast Michigan Surgical Hospital LCC

  • General Acute Care Hospital
  • Warren, MI
National Provider Identifier
1750501938
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SOUTHEAST MICHIGAN SURGICAL HOSPITAL LCC
Practice address
21230 Dequindre Rd
Warren, MI 48091
Phone
(586) 427-1000
Fax
(586) 427-4921
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Nadir Ijaz
Title
Director
Phone
(810) 275-9371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

21230 Dequindre Rd
Warren, MI 48091

Mailing address

21230 Dequindre Rd
Warren, MI 48091
Phone (586) 427-1000

Other identifiers 1

IdentifierTypeStateIssuer
4554160MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Southeast Michigan Surg6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1750501938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21230 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48091",
            "telephone_number": "586-427-1000",
            "fax_number": "586-427-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21230 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48091",
            "telephone_number": "586-427-1000",
            "fax_number": "586-427-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MICHIGAN SURGICAL HOSPITAL LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "IJAZ",
        "authorized_official_first_name": "NADIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "810-275-9371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4554160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.