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NORTHEAST SURGICAL GROUP PC
NPI 1700984200
Surgery in Macomb, MI

Active since September 20, 2006CLIA 23D0363909 · Waiver
17375 HALL RD, MACOMB, MI 48044(586) 228-0550(586) 228-8830 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Surgical Group Pc NPPES

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

NORTHEAST SURGICAL GROUP PC (NPI 1700984200) is a healthcare organization registered as a surgery in Macomb, Michigan and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists James Henry Mcquiston, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1700984200
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameNORTHEAST SURGICAL GROUP PC
Location Address17375 HALL RDMacomb, MI 48044-4060
Mailing Address17375 Hall RdMacomb, MI 48044-4060 · (586) 228-0550 · Fax (586) 228-8830
Phone(586) 228-0550
Fax(586) 228-8830
Organization SubpartNo
Authorized OfficialJames Henry McquistonManaging Partner · (586) 228-0550
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 15, 2015
✔ NPI 1700984200 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.
17375 HALL RD, Macomb, MI 48044
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Other Identifiers 1

Medicare PIN0N87470MI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 23D0363909

Northeast Surgical Group PC · Macomb Township, MI
Active · expires Aug 31, 2026
CLIA Number23D0363909
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJames H. Mcquiston Do
Laboratory Phone(810) 228-0550
Laboratory LocationNortheast Surgical Group PC17375 Hall Road, Macomb Township, MI 48044
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 6

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

DR. JAMES HENRY MCQUISTON D.O.
Surgery
17375 HALL RD
MACOMB TOWNSHIP, MI 48044
Macomb County (586) 228-0550
DR. KARI A HORTOS D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
17375 HALL RD
MACOMB TOWNSHIP, MI 48044
Macomb County (586) 228-0550
CORIE LOUISE SEELBACH
Surgery
17375 HALL RD
MACOMB, MI 48044
Macomb County (586) 228-0550
DR. MICHAEL JUDE D'ALMEIDA D.O.
Surgery
17375 HALL RD
MACOMB TOWNSHIP, MI 48044
Macomb County (586) 228-0550
DR. DOUGLAS GORDON PAULK D.O.
Surgery
17375 HALL RD
MACOMB TOWNSHIP, MI 48044
Macomb County (586) 228-0550
DR. ROY EUGENE HANKS II D.O.
Surgery
17375 HALL RD
MACOMB TOWNSHIP, MI 48044
Macomb County (586) 228-0550

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 Northeast Surgical Group PC's NPI number?

The NPI number for Northeast Surgical Group PC is 1700984200. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Northeast Surgical Group PC located?

Northeast Surgical Group PC is located at 17375 Hall Rd, Macomb, MI 48044. The listed phone number is (586) 228-0550.

What is Northeast Surgical Group PC's specialty?

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

Does Northeast Surgical Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0363909) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Surgical Group PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Northeast Surgical Group PC 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 Northeast Surgical Group PC was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.