CASTLEMAN SURGERY CENTER LLC NPI 1992735286

NPI Information

  • NPI: 1992735286
  • Provider Name: CASTLEMAN SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: SOUTHGATE SURGERY CENTER
  • CLIA Number: 23D0868421
  • Address: 14050 DIX TOLEDO RD
    SOUTHGATE, MI
    ZIP 48195
  • Phone: (734) 281-0100

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NPI Details

CASTLEMAN SURGERY CENTER, LLC is an ambulatory surgical clinic center in Southgate, MI. CASTLEMAN SURGERY CENTER, LLC NPI is 1992735286. The provider is registered as an organization entity type.
The provider Is Doing Business As Southgate Surgery Center.

The provider's business location address is:

14050 DIX TOLEDO RD
SOUTHGATE, MI
ZIP 48195-501
Phone: (734) 281-0100
Fax: (734) 283-4839

The provider's authorized official is Linda Phillips .
The authorized official title is Administrator and has the following contact phone number (734) 281-0100.

The CLIA number assigned to this NPI record is 23D0868421 - 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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)

The enumeration date for this NPI number is 7/3/2006 and was last updated on 2/3/2021.

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
1261QA1903XClinic/CenterAmbulatory Surgical4301027659MICHIGANYes

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
13398300MEDICAIDMICHIGAN

What is NPI?

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

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