Castleman Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

4301027659 Issued in MI

Legal business name

CASTLEMAN SURGERY CENTER, LLC

Practice address

14050 Dix Toledo Rd
Southgate, MI 48195-2501

Phone

(734) 281-0100

Fax

(734) 283-4839

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Linda Phillips, R.N.

Title

Administrator

Phone

(734) 281-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southgate Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Castleman Surgery Center Dba Southgate Surgery CenterCCN 23C0001001

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Clarkson Optometry Inc

  • Optometrist
  • Saint Louis, MO
  • NPI 1790026540

  Member Of

  NPD member

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1992735286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952501",
            "telephone_number": "734-281-0100",
            "fax_number": "734-283-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952501",
            "telephone_number": "734-281-0100",
            "fax_number": "734-283-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLEMAN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-281-0100",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "4301027659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3398300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southgate Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southgate Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Ann Cartmille
• Kelsey Cree-Ann Cary, LLMSW
• Sheila Cassette, RN
• Richard Andre Casteels, LMSW
• Castleman Emergency Center PC
• Joseph Aaron Catania
• Amanda Cauchi
• Shauna Caudill
• Awa Ceesay
• Center for Brain Diseases PLLC

• Ambulatory Surgical Clinic/Center in Southgate, MI
• Providers in Southgate, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.