McCi-Michigan Center for Surgical Specialists

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MCCI-MICHIGAN CENTER FOR SURGICAL SPECIALISTS

Doing business as

X-Ray Treatment Center, PC/Michigan Comprehensive Cancer Ctr. (MCCI)

Practice address

28500 Orchard Lake Rd
Suite 201
Farmington Hills, MI 48334-2936

Phone

(248) 865-2575

Fax

(248) 865-2590

NPI assigned

Feb 21, 2006

Organization subpart

No

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

Authorized official

Name

Farideh R. Bagne, PH.D., J.D.

Title

Ceo

Phone

(248) 338-0300

Specialties & licenses 1

Addresses

Other names 1

• X-Ray Treatment Center, PC/Michigan Comprehensive Cancer Ctr. (MCCI) Doing business as

Tax ID family

McCi-Macomb Cancer Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• McCi-Macomb Cancer Center

  • Radiation Oncology Physician
  • Macomb, MI
  • NPI 1093780371
  NPD tax ID
• X-Ray Treatment Center

  • Radiation Oncology Physician
  • Eastpointe, MI
  • NPI 1346216728
  NPD tax ID

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851366041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28500 ORCHARD LAKE RD",
            "address_2": "SUITE 201",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342936",
            "telephone_number": "248-865-2575",
            "fax_number": "248-865-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28500 ORCHARD LAKE RD",
            "address_2": "SUITE 201",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342936",
            "telephone_number": "248-865-2575",
            "fax_number": "248-865-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCI-MICHIGAN CENTER FOR SURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAGNE",
        "authorized_official_first_name": "FARIDEH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-338-0300",
        "authorized_official_credential": "PH.D., J.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "X-Ray Treatment Center, PC/Michigan Comprehensive Cancer Ctr. (MCCI)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karin Elizabeth McCaul, ATR-BC
• Katherine Eileen McCauley
• Mariah McCauslin
• Alyssa McCavour
• Mariah McChristian
• A'Asia McClain
• Amiya McClain
• Erin McClain
• La'Dasjaih McClain
• Logan McClain

• Surgery Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.