Organization Active NPI

Alpena Surgical Associates, P.L.L.C.

  • Surgery Physician
  • Alpena, MI
National Provider Identifier
1851439012
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ALPENA SURGICAL ASSOCIATES, P.L.L.C.
Practice address
311 Long Rapids PLZ
Alpena, MI 49707-1375
Phone
(989) 354-5717
Fax
(989) 356-6526
NPI assigned
Feb 1, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Mrs. Susan Grohowski
Title
Manager
Phone
(989) 354-5717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

311 Long Rapids PLZ
Alpena, MI 49707-1375

Mailing address

PO Box 535
Alpena, MI 49707-0535
Phone (989) 354-5717

Other identifiers 1

IdentifierTypeStateIssuer
CH1975OtherMIRR MEDICARE

National Provider Directory

National Provider Directory

Locations

610 Caring St
Hillman, MI 49746
Phone (517) 742-4583

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1851439012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070535",
            "telephone_number": "989-354-5717",
            "fax_number": "989-356-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LONG RAPIDS PLZ",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071375",
            "telephone_number": "989-354-5717",
            "fax_number": "989-356-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPENA SURGICAL ASSOCIATES, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "GROHOWSKI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "989-354-5717",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH1975",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.