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MCLAREN MACOMB
NPI 1467572123
Orthopaedic Surgery in Clinton Township, MI

Active since March 29, 2007CLIA 23D0878512 · Waiver
36500 S GRATIOT AVE, SUITE 102, CLINTON TOWNSHIP, MI 48035(586) 790-9003(586) 493-3603 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mclaren Macomb NPPES

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

MCLAREN MACOMB (NPI 1467572123) is a healthcare organization registered as an orthopaedic surgery in Clinton Township, Michigan and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 16, 2026 and lists Thomas M Brisse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467572123
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMCLAREN MACOMB
Location Address36500 S GRATIOT AVE, SUITE 102Clinton Township, MI 48035
Mailing Address401 S Ballenger HwyFlint, MI 48532-3638 · (810) 342-1000 · Fax (810) 342-1590
Phone(586) 790-9003
Fax(586) 493-3603
Organization SubpartNo
Authorized OfficialThomas M BrisseCeo · (586) 493-8083
Enumeration DateMarch 29, 2007
Last NPPES UpdateMay 23, 2018
✔ NPI 1467572123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

36500 S GRATIOT AVE, Clinton Township, MI 48035
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Other Identifiers 1

Other200E064300MI · Blue Cross Blue Shield

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 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 23D0878512

Mclaren Macomb · Clinton Township, MI
Active · expires Oct 16, 2026
CLIA Number23D0878512
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorBeth Wendt
Laboratory Phone(586) 790-9003
Laboratory LocationMclaren Macomb36500 Gratiot Suite 102 Multi Specialty Clinic, Clinton Township, MI 48035
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. THOMAS L ALDERSON D.O.
Obstetrics & Gynecology (Reproductive Endocrinology)
36500 S GRATIOT AVE, STE. 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3740
DR. LUCILA W. OLSON M.D.
Pediatrics
36500 S GRATIOT AVE, STE. 101
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3732
DR. KURTIS ROBERT KIELESZEWSKI D.O.
Family Medicine
36500 S GRATIOT AVE, SUITE 202
CLINTON TWP, MI 48035
Macomb County (586) 493-3727
DR. RICHARD JORDAN CHALMERS D.O.
Family Medicine
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3727
MCLAREN MACOMB
Family Medicine
36500 S GRATIOT AVE, STE. 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3727
MCLAREN MACOMB
Internal Medicine
36500 S GRATIOT AVE, STE. 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
MCLAREN MACOMB
Neuromusculoskeletal Medicine & OMM
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3727
MCLAREN MACOMB
Internal Medicine
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mclaren Macomb's NPI number?

The NPI number for Mclaren Macomb is 1467572123. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Mclaren Macomb located?

Mclaren Macomb is located at 36500 S Gratiot Ave Suite 102, Clinton Township, MI 48035. The listed phone number is (586) 790-9003.

What is Mclaren Macomb's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Mclaren Macomb hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0878512) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mclaren Macomb was last updated on May 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.