SURGICAL ASSOCIATES, PLC - NPI 1023693389 - Surgery in Grand Blanc, MI

Q: What is Ascension Medical Group-Surgical Associates LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

On this page

About Surgical Associates, Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL ASSOCIATES, PLC (NPI 1023693389) is a healthcare organization registered as a surgery in Grand Blanc, Michigan and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists David Lopez, Director, as its authorized official.

NPPES Registry Identity

NPI1023693389

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameASCENSION MEDICAL GROUP-SURGICAL ASSOCIATES LLC

Location Address8235 HOLLY RDGrand Blanc, MI 48439-2441

Mailing Address8235 Holly RdGrand Blanc, MI 48439-2441 · (810) 694-9700 · Fax (810) 694-9940

Phone(810) 694-9700

Fax(810) 694-9940

Organization SubpartNo

Authorized OfficialDavid LopezDirector · (810) 938-1133

Enumeration DateMarch 17, 2021

Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration

NPPES CertifiedMarch 25, 2021

✔ NPI 1023693389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

8235 HOLLY RD, Grand Blanc, MI 48439

Open in Google Maps ↗

Other Names 1

Doing Business AsSurgical Associates, Plc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0373007

Ascension Medical Group · Grand Blanc, MI

Active · expires Apr 30, 2027

CLIA Number23D0373007

Laboratory TypePhysician Office

Certificate Effective DateMay 1, 2025

Certificate Expiration DateApril 30, 2027

Laboratory DirectorSean E. Gilin

Laboratory Phone(810) 694-7820

Laboratory LocationAscension Medical Group8483 Holly Road Suite 203, Grand Blanc, MI 48439

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA JO GOETHALS D.O.

Surgery