NORTHEAST SURGICAL SPECIALISTS, PC
NPI 1952576431
Surgery in Clinton Twp, MI

Active since April 25, 2008
43211 DALCOMA DR, SUITE 4, CLINTON TWP, MI 48038(586) 286-8800(586) 286-8068 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northeast Surgical Specialists, Pc NPPES

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

NORTHEAST SURGICAL SPECIALISTS, PC (NPI 1952576431) is a healthcare organization registered as a surgery in Clinton Twp, Michigan and active in the NPI registry since April 2008. The organization lists Peter David Kowynia, Owner, as its authorized official.

NPPES Registry Identity

NPI1952576431
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameNORTHEAST SURGICAL SPECIALISTS, PC
Location Address43211 DALCOMA DR, SUITE 4Clinton Twp, MI 48038-6309
Mailing Address43211 Dalcoma Dr, Suit 4Clinton Twp, MI 48038-6309 · (586) 286-8800 · Fax (586) 286-8068
Fax(586) 286-8068
Organization SubpartNo
Authorized OfficialPeter David KowyniaOwner · (586) 212-0606
Enumeration DateApril 25, 2008
Last NPPES UpdateMarch 21, 2013
NPI 1952576431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 4301051240
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.
43211 DALCOMA DR, Clinton Twp, MI 48038

Other Identifiers 4

Medicaid102873117MI
Other02 0502600MI · Blue Cross Blue Shield Of Michigan
Medicare PIN050 2600 011MI
Medicare UPINF22193MI

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

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Cardiovascular Disease)
43211 DALCOMA DR, SUITE 9
CLINTON TOWNSHIP, MI 48038
Psychiatry & Neurology (Psychiatry)
43211 DALCOMA DR, STE. 3
CLINTON TOWNSHIP, MI 48038
Obstetrics & Gynecology
43211 DALCOMA DR, SUITE 4
CLINTON TOWNSHIP, MI 48038
Obstetrics & Gynecology
43211 DALCOMA DR, SUITE 4
CLINTON TOWNSHIP, MI 48038
Social Worker (Clinical)
43211 DALCOMA DR, SUITE 7
CLINTON TOWNSHIP, MI 48038
General Practice
43211 DALCOMA DR, #3
CLINTON TWP, MI 48038
Clinic/Center (Adult Day Care)
43211 DALCOMA DR
CLINTON TWP, MI 48038
General Practice
43211 DALCOMA DR, #3
CLINTON TOWNSHIP, MI 48038

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 Specialists, PC's NPI number?

The NPI number for Northeast Surgical Specialists, PC is 1952576431. It was assigned to this organization in the NPPES registry on April 25, 2008.

Where is Northeast Surgical Specialists, PC located?

Northeast Surgical Specialists, PC is located at 43211 Dalcoma Dr Suite 4, Clinton Twp, MI 48038. The listed phone number is (586) 286-8800.

What is Northeast Surgical Specialists, PC's specialty?

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

What insurance does Northeast Surgical Specialists, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Northeast Surgical Specialists, 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 Specialists, PC was last updated on March 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.