NPIMap

Organization Active NPI

Macomb Endoscopy Center, PLC

  • Anesthesiology Physician
  • Macomb, MI
National Provider Identifier
1821498536
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MACOMB ENDOSCOPY CENTER, PLC
Practice address
48801 Romeo Plank Rd
Suite 101
Macomb, MI 48044-2165
Phone
(586) 726-8423
Fax
(586) 329-3215
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Mary Michalek
Title
Manager Medical Billing Operations
Phone
(586) 726-8423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

48801 Romeo Plank Rd
Suite 101
Macomb, MI 48044-2165

Mailing address

1701 South Blvd E
Suite 300
Rochester Hills, MI 48307-6122
Phone (248) 877-9710

Other names 1

  • Anesthesia MEC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130319000064 MI Part B Supplier - Ambulatory Surgical Center 1850536012 Receives reassigned benefits from 87 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Macomb, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Macomb Endoscopy Center PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

48801 Romeo Plank Rd
Ste 102
Macomb, MI 48044

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 88

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 88

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1821498536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "address_2": "SUITE 300",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-877-9710",
            "fax_number": "248-844-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48801 ROMEO PLANK RD",
            "address_2": "SUITE 101",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442165",
            "telephone_number": "586-726-8423",
            "fax_number": "586-329-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB ENDOSCOPY CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "MICHALEK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER MEDICAL BILLING OPERATIONS",
        "authorized_official_telephone_number": "586-726-8423"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anesthesia MEC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anesthesia MEC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.