EASTSIDE TRAUMA & SPECIALTY SURGEONS – NPI #1730395419
Surgery

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.

EASTSIDE TRAUMA & SPECIALTY SURGEONS is a surgeon located in SAINT CLAIR SHORES, MI. NPPES has assigned the NPI number 1730395419 to EASTSIDE TRAUMA & SPECIALTY SURGEONS on May 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTSIDE TRAUMA & SPECIALTY SURGEONS below.

NPI Profile for
EASTSIDE TRAUMA & SPECIALTY SURGEONS

NPI Number
1730395419
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTSIDE TRAUMA & SPECIALTY SURGEONS
Primary location
24911 LITTLE MACK AVE
SUITE B
SAINT CLAIR SHORES, MI 48080-3200
Phone: (586) 774-8811 Fax: (586) 774-6773
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ABDELKADER HAWASLI
PRESIDENT
Phone: (586) 774-8811
Updated
Identifiers

Identifiers for EASTSIDE TRAUMA & SPECIALTY SURGEONS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSM GROUP #MI0H20098
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.