SURGICAL SPECIALIST OF MICHIGAN PC
NPI 1760603484
Specialist in Saint Clair Shores, MI

Q: What is Surgical Specialist Of Michigan PC's NPI number?

The NPI number for Surgical Specialist Of Michigan PC is 1760603484. It was assigned to this organization in the NPPES registry on May 1, 2007.

Q: What is Surgical Specialist Of Michigan PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 01, 2007

21000 E 12 MILE RD, SUITE 112, SAINT CLAIR SHORES, MI 48081(586) 771-8900(586) 771-8901 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Surgical Specialist Of Michigan Pc NPPES

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

SURGICAL SPECIALIST OF MICHIGAN PC (NPI 1760603484) is a healthcare organization registered as a specialist in Saint Clair Shores, Michigan and active in the NPI registry since May 2007. The organization lists Akash Rushikumar Sheth, President, as its authorized official.

NPPES Registry Identity

NPI1760603484

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSURGICAL SPECIALIST OF MICHIGAN PC

Location Address21000 E 12 MILE RD, SUITE 112Saint Clair Shores, MI 48081-1116

Mailing Address21000 E 12 Mile Rd, Suite 112Saint Clair Shores, MI 48081-1116 · (586) 771-8900 · Fax (586) 771-8901

Phone(586) 771-8900

Fax(586) 771-8901

Organization SubpartNo

Authorized OfficialAkash Rushikumar ShethPresident · (586) 771-8900

Enumeration DateMay 1, 2007

Last NPPES UpdateNovember 8, 2011

✔ NPI 1760603484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MI · 4301057707

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

21000 E 12 MILE RD, Saint Clair Shores, MI 48081

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Other Identifiers 6

Medicare UPING93036MI

Medicaid453674210MI

Medicaid453676010MI

Medicare UPING24189MI

Medicare ID-Type UnspecifiedN77200001MI · Ars

Medicare ID-Type UnspecifiedN77200002MI · Drs

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

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. DOUGLAS CARL KUBEK D.O.

Otolaryngology (Sleep Medicine)

21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

LAKESHORE EAR NOSE AND THROAT CENTER PC

Otolaryngology

21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

MARY E MARKOVICH

Audiologist-Hearing Aid Fitter

21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

DR. MICHAEL S FOZO MD

Otolaryngology (Plastic Surgery within the Head & Neck)

21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

ANN R MCREYNOLDS MD

Obstetrics & Gynecology

21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081

Macomb County (586) 447-5100

NATHAN S. WHITE MD

Obstetrics & Gynecology

21000 E 12 MILE RD
ST CLAIR SHORES, MI 48081

Macomb County (586) 447-5100

LAKESHORE EAR NOSE AND THROAT CENTER PC

Allergy & Immunology

21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

MRS. ELIZABETH THERESE PARUS CRNA

Nurse Anesthetist, Certified Registered

21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 447-5021

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 Surgical Specialist Of Michigan PC's NPI number?

The NPI number for Surgical Specialist Of Michigan PC is 1760603484. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Surgical Specialist Of Michigan PC located?

Surgical Specialist Of Michigan PC is located at 21000 E 12 Mile Rd Suite 112, Saint Clair Shores, MI 48081. The listed phone number is (586) 771-8900.

What is Surgical Specialist Of Michigan PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Surgical Specialist Of Michigan PC was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.