MACKINAW SURGERY CENTER LLC NPI 1780747733

NPI Information

  • NPI: 1780747733
  • Provider Name: MACKINAW SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 23D1064223
  • Address: 5400 MACKINAW RD
    SAGINAW, MI
    ZIP 48604
  • Phone: (636) 220-8597

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NPI Details

MACKINAW SURGERY CENTER LLC is an ambulatory surgical clinic center in Saginaw, MI. MACKINAW SURGERY CENTER LLC NPI is 1780747733. The provider is registered as an organization entity type.

The provider's business location address is:

5400 MACKINAW RD
SAGINAW, MI
ZIP 48604
Phone: (636) 220-8597

The provider's authorized official is Lisa Kenny .
The authorized official title is Administrator and has the following contact phone number (989) 583-5205.

The CLIA number assigned to this NPI record is 23D1064223 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Partial removal of breast (HCPCS:19301)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Correction of toe joint deformity (HCPCS:28285)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Biopsy or removal of deep lymph nodes of underarm (HCPCS:38525)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)

The enumeration date for this NPI number is 12/19/2006 and was last updated on 5/22/2023.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

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