NPIMap

Organization Active NPI

Michigan Outpatient Surgery Center Inc

  • Anesthesiology Physician
  • Fraser, MI
National Provider Identifier
1992459663
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MICHIGAN OUTPATIENT SURGERY CENTER INC
Practice address
33080 Utica Rd Ste a
Fraser, MI 48026-2038
Phone
(586) 296-7250
Fax
(586) 218-5894
NPI assigned
Feb 10, 2022
Organization subpart
Yes
Parent organization
MICHIGAN OUTPATIENT SURGERY CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Tammy Ackerman, CPA
Title
Cfo
Phone
(586) 296-7250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X

Addresses

Primary practice location

33080 Utica Rd Ste a
Fraser, MI 48026-2038

Mailing address

33080 Utica Rd
Fraser, MI 48026-2038
Phone (586) 218-5890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528001115 MI Part B Supplier - Clinic/Group Practice 4587645049 Receives reassigned benefits from 7 practitioners
Practice locations: Fraser, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Norbert P Czajkowski MD6 organizations share this tax ID, including this one
Part of
Norbert P Czajkowski MD

Other organizations with this tax ID 5

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

Locations

33080 Utica Rd
Fraser, MI 48026
Phone (586) 218-5890

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.

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1992459663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33080 UTICA RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262038",
            "telephone_number": "586-218-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33080 UTICA RD STE A",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262038",
            "telephone_number": "586-296-7250",
            "fax_number": "586-218-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN OUTPATIENT SURGERY CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN OUTPATIENT SURGERY CENTER INC",
        "enumeration_date": "2022-02-10",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "586-296-7250",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fraser, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.

Verify at the official NPI Registry.