Active NPI
Premier Surgical Specialists, PC
- Surgery Physician
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- PREMIER SURGICAL SPECIALISTS, PC
- Practice address
- 1701 South Blvd E
Suite 270
Rochester Hills, MI 48307-6122 - Phone
- (248) 853-3100
- Fax
- (248) 853-4300
- NPI assigned
- May 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce Burr McIntosh, M.D.
- Title
- President
- Phone
- (248) 853-3100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1701 South Blvd E
Suite 270
Rochester Hills, MI 48307-6122
Mailing address
1701 South Blvd E
Suite 270
Rochester Hills, MI 48307-6122
Phone (248) 853-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
15979 Hall Rd
Ste 203
Macomb, MI 48044
Phone (586) 416-6216
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Rochester Hills, MI
- NPI 1669451621
-
- Surgery Physician
- Rochester Hills, MI
- NPI 1902883366
-
- Surgery Physician
- Rochester Hills, MI
- NPI 1710320932
-
- Surgery Physician
- Rochester Hills, MI
- NPI 1174900260
-
- Surgery Physician
- Rochester Hills, MI
- NPI 1417157991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962455857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 SOUTH BLVD E",
"address_2": "SUITE 270",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483076122",
"telephone_number": "248-853-3100",
"fax_number": "248-853-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SOUTH BLVD E",
"address_2": "SUITE 270",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483076122",
"telephone_number": "248-853-3100",
"fax_number": "248-853-4300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER SURGICAL SPECIALISTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCINTOSH",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "BURR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-853-3100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.