NPIMap

Organization Active NPI

Michigan Surgery Specialists, P.C.

  • Non-Pharmacy Dispensing Site
  • Dearborn, MI
National Provider Identifier
1881165157
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
MICHIGAN SURGERY SPECIALISTS, P.C.
Practice address
22731 Newman St Ste 100a
Dearborn, MI 48124-2031
Phone
(313) 561-4910
Fax
(313) 561-8561
NPI assigned
Dec 16, 2018
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MICHIGAN SURGERY SPECIALISTS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Daniel Oddo
Title
Authorized Official
Phone
(586) 806-8726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

22731 Newman St Ste 100a
Dearborn, MI 48124-2031

Mailing address

11012 E 13 Mile Rd Ste 112
Warren, MI 48093-2546

Other identifiers 1

IdentifierTypeStateIssuer
22731OtherMIMDSCRIPTS

National Provider Directory

National Provider Directory
Tax ID family
Hand Surgery Assoc17 organizations share this tax ID, including this one
Part of
Hand Surgery Assoc

Other organizations with this tax ID 16

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

View all 16

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1881165157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 E 13 MILE RD STE 112",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22731 NEWMAN ST STE 100A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242031",
            "telephone_number": "313-561-4910",
            "fax_number": "313-561-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SURGERY SPECIALISTS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN SURGERY SPECIALISTS, P.C.",
        "enumeration_date": "2018-12-16",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "ODDO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "586-806-8726"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDSCRIPTS",
            "identifier": "22731",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.