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SURGERY CENTER PLC NPI 1770577637


NPI Information

NPI: 1770577637
Provider Name: SURGERY CENTER PLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 23D0988107

Address:
5080 N ROYAL DR
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 929-2500
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SURGERY CENTER PLC is an ambulatory surgical clinic center in Traverse City, MI. SURGERY CENTER PLC NPI is 1770577637. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5080 N ROYAL DR
TRAVERSE CITY, MI
ZIP 49684-230
Phone: (231) 929-2500
Fax: (231) 929-0963

The provider's authorized official is Bradley S. Hochstetler .
The authorized official title is Owner and has the following contact phone number (231) 929-2500.

The CLIA number assigned to this NPI record is 23D0988107 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2005 and was last updated on 12/15/2021.


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 Number License State Primary
1207W00000XOphthalmologyTH048021MICHIGANNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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
1050B810950OTHERMICHIGANBCBS MD ANES GROUP
240364OTHERMICHIGANBCBS - TSC
3430B810310OTHERMICHIGANBCBS CRNA GROUP
4490003947OTHERMICHIGANMEDICARE RR
5900003210OTHERMICHIGANPRIORITY - TSC
6490B870000OTHERMICHIGANBCBS

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.