Organization Active NPI

Birmingham Ambulatory Surgical Center, PLLC

  • Ambulatory Surgical Clinic/Center
  • Troy, MI
National Provider Identifier
1770603706
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1010000076 Issued in MI
Legal business name
BIRMINGHAM AMBULATORY SURGICAL CENTER, PLLC
Doing business as
Truvista Surgery Center
Practice address
230 W Maple Road
Ste 100
Troy, MI 48084-5435
Phone
(248) 244-1500
Fax
(248) 250-7230
NPI assigned
Mar 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Mrs. Lawrence F Handler, MD
Title
Owner/Partner
Phone
(248) 649-1644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
Ambulatory Surgical Clinic/Center 261QA1903X 1010000076 MI Primary

Addresses

Primary practice location

230 W Maple Road
Ste 100
Troy, MI 48084-5435

Mailing address

230 W Maple Road
Ste 100
Troy, MI 48084-5435
Phone (248) 244-1500

Other names 1

  • Truvista Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070523000514 MI Part B Supplier - Ambulatory Surgical Center 2163529389 Practice locations: Troy, MI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Birmingham Ambulatory Surgical Center PLLCCCN 23C0001092
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1068493Birmingham Ambulatory Surgical Center230 W Maple Road Suite 100, Troy, MI 48084Certificate of waiverMay 13, 2027

National Provider Directory

National Provider Directory

Locations

230 W Maple Rd
Ste 100
Troy, MI 48084
Phone (248) 244-1500

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1770603706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W MAPLE ROAD",
            "address_2": "STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845435",
            "telephone_number": "248-244-1500",
            "fax_number": "248-250-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W MAPLE ROAD",
            "address_2": "STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845435",
            "telephone_number": "248-244-1500",
            "fax_number": "248-250-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM AMBULATORY SURGICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "HANDLER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "248-649-1644",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "1010000076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Truvista Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.

Verify at the official NPI Registry.