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EASTSIDE TRAUMA & SPECIALTY SURGEONS
NPI 1730395419
Surgery in Saint Clair Shores, MI

Active since May 16, 2007
24911 LITTLE MACK AVE, SUITE B, SAINT CLAIR SHORES, MI 48080(586) 774-8811(586) 774-6773 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eastside Trauma & Specialty Surgeons NPPES

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

EASTSIDE TRAUMA & SPECIALTY SURGEONS (NPI 1730395419) is a healthcare organization registered as a surgery in Saint Clair Shores, Michigan and active in the NPI registry since May 2007. The organization lists Abdelkader Hawasli, President, as its authorized official.

NPPES Registry Identity

NPI1730395419
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameEASTSIDE TRAUMA & SPECIALTY SURGEONS
Location Address24911 LITTLE MACK AVE, SUITE BSaint Clair Shores, MI 48080-3200
Mailing Address24911 Little Mack Ave, Suite BSaint Clair Shores, MI 48080-3200 · (586) 774-8811 · Fax (586) 774-6773
Phone(586) 774-8811
Fax(586) 774-6773
Organization SubpartNo
Authorized OfficialAbdelkader HawasliPresident · (586) 774-8811
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730395419 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.
24911 LITTLE MACK AVE, Saint Clair Shores, MI 48080
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Other Identifiers 1

Other0H20098MI · Bcbsm Group #

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 Priority Health.Insurance ›

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.

PATRICIA WEST PHD, RN
Nurse Practitioner (Psychiatric/Mental Health)
24911 LITTLE MACK AVE, SUITE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 447-9070
KENNETH W BOLLIN MD
Family Medicine
24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
MITCHELL BECKER
Family Medicine
24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
EILEEN MARGARET REICKERT MD
Family Medicine
24911 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
DR. TERRY KENNETH DELUCA M.D.
Family Medicine
24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
DR. RITA SALEEM JADDOU M.D.
Family Medicine
24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 447-9064
ST. JOHN FAMILY CENTER
Clinic/Center
24911 LITTLE MACK AVE, SUITE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 753-0011
SAMINEH MIRHEYDARI MD
Family Medicine
24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050

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 Eastside Trauma & Specialty Surgeons's NPI number?

The NPI number for Eastside Trauma & Specialty Surgeons is 1730395419. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Eastside Trauma & Specialty Surgeons located?

Eastside Trauma & Specialty Surgeons is located at 24911 Little Mack Ave Suite B, Saint Clair Shores, MI 48080. The listed phone number is (586) 774-8811.

What is Eastside Trauma & Specialty Surgeons's specialty?

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

What insurance does Eastside Trauma & Specialty Surgeons accept?

Health plans from Priority Health list Eastside Trauma & Specialty Surgeons 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 Eastside Trauma & Specialty Surgeons 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 6 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.