LAKESHORE SURGERY CENTER, LLP
NPI 1629079611
Clinic/Center - Ambulatory Surgical in Fort Gratiot, MI

Active since August 02, 2005
4190 24TH AVE, FORT GRATIOT, MI 48059(810) 989-7649(810) 989-7652 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeshore Surgery Center, Llp NPPES

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

LAKESHORE SURGERY CENTER, LLP (NPI 1629079611) is a healthcare organization registered as an ambulatory surgical in Fort Gratiot, Michigan and active in the NPI registry since August 2005. The organization lists Timothy P Connell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629079611
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNEWCO AMBULATORY SURGERY CENTER, LLP
Location Address4190 24TH AVEFort Gratiot, MI 48059-3882
Mailing Address4190 24th AveFort Gratiot, MI 48059-3882 · Fax (810) 989-7652
Fax(810) 989-7652
Organization SubpartNo
Authorized OfficialTimothy P ConnellAdministrator · (810) 989-7751
Enumeration DateAugust 2, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1629079611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in MI · 746818
4190 24TH AVE, Fort Gratiot, MI 48059

Other Names 1

Doing Business AsLakeshore Surgery Center, Llp

Other Identifiers 8

Other30036708First Health
Other40221Blue Care Network
Other139016Preferred Choices
Other139016Care Choices
Other32463Health Plan Of Michigan
Other40221MI · Blue Cross Blue Shield
Other143728MI · Great Lakes Health Plan
Other4563971Cigna

Accepted Insurance

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
1,276 services191 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
486 services289 patients
Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye 66988
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. A laser is then used to reduce fluid production in the eye, helping to lower pressure and improve vision.
45 services28 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
42 services42 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
36 services36 patients
Removal of nasal air passage under lining tissue 30140
This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.
28 services14 patients

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.

Nurse Practitioner (Gerontology)
4190 24TH AVE
FORT GRATIOT, MI 48059
Internal Medicine
4190 24TH AVE, SUITE 206
FORT GRATIOT, MI 48059
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
Psychiatry & Neurology (Sleep Medicine)
4190 24TH AVE, SUITE 210
FORT GRATIOT, MI 48059
Clinic/Center (Ambulatory Surgical)
4190 24TH AVE
FORT GRATIOT, MI 48059
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
Specialist
4190 24TH AVE, SUITE 204
FORT GRATIOT, MI 48059
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059

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 Newco Ambulatory Surgery Center, LLP's NPI number?

The NPI number for Newco Ambulatory Surgery Center, LLP is 1629079611. It was assigned to this organization in the NPPES registry on August 2, 2005. The provider is doing business as Lakeshore Surgery Center, LLP.

Where is Newco Ambulatory Surgery Center, LLP located?

Newco Ambulatory Surgery Center, LLP is located at 4190 24th Ave, Fort Gratiot, MI 48059. The listed phone number is (810) 989-7649.

What is Newco Ambulatory Surgery Center, LLP's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does Newco Ambulatory Surgery Center, LLP accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Newco Ambulatory Surgery Center, LLP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Newco Ambulatory Surgery Center, LLP was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.