ASCENSION MEDICAL GROUP MICHIGAN NPI 1629272968

NPI Information

NPI: 1629272968
Provider Name: ASCENSION MEDICAL GROUP MICHIGAN
Classification: Surgery - 208600000X
Entity Type: Organization
:
Address: 22201 MOROSS RD
DETROIT, MI
ZIP 48236
Phone: (248) 680-8205

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NPI Details

ASCENSION MEDICAL GROUP MICHIGAN is a surgery in Detroit, MI. The provider is 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. ASCENSION MEDICAL GROUP MICHIGAN NPI is 1629272968. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

22201 MOROSS RD
DETROIT, MI
ZIP 48236-169
Phone: (248) 680-8205
Fax: (248) 680-8205

The provider's authorized official is Rachel R Perry .
The authorized official title is Manager and has the following contact phone number (248) 221-1918.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 4/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	1223G0001X	Dentist	General Practice		No
2	204E00000X	Oral & Maxillofacial Surgery			No
3	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	MICHIGAN	No
4	207RX0202X	Internal Medicine	Medical Oncology		No
5	207V00000X	Obstetrics & Gynecology		MICHIGAN	No
6	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	MICHIGAN	No
7	2084N0400X	Psychiatry & Neurology	Neurology	MICHIGAN	No
8	208600000X	Surgery		MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0H231320	OTHER	MICHIGAN	BLUE CROSS GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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