NPIMap

Organization Active NPI

Beaumont West Bloomfield ASC LLC

  • Ambulatory Surgical Clinic/Center
  • West Bloomfield, MI
National Provider Identifier
1982802203
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1010000081 Issued in MI
Legal business name
BEAUMONT WEST BLOOMFIELD ASC LLC
Practice address
6900 Orchard Lake Road
Suite Ll100
West Bloomfield, MI 48322
Phone
(248) 406-2400
Fax
(248) 406-2401
NPI assigned
Jul 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Mr. John T Fox
Title
Ceo
Phone
(248) 213-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1010000081 MI Primary

Addresses

Primary practice location

6900 Orchard Lake Road
Suite Ll100
West Bloomfield, MI 48322

Mailing address

6900 Orchard Lake Road
Suite Ll100
West Bloomfield, MI 48322
Phone (248) 406-2400

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1183852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1982802203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 ORCHARD LAKE ROAD",
            "address_2": "SUITE LL100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-406-2400",
            "fax_number": "248-406-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ORCHARD LAKE ROAD",
            "address_2": "SUITE LL100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-406-2400",
            "fax_number": "248-406-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT WEST BLOOMFIELD ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-08",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-213-3334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "1010000081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.