NORTHEAST SURGICAL SPECIALISTS, PC – NPI #1952576431
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.

NORTHEAST SURGICAL SPECIALISTS, PC is a surgeon located in CILNTON TOWNSHIP, MI. NPPES has assigned the NPI number 1952576431 to NORTHEAST SURGICAL SPECIALISTS, PC on April 25, 2008. 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 13 years ago on Mar 21, 2013. 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 NORTHEAST SURGICAL SPECIALISTS, PC below.

NPI Profile for
NORTHEAST SURGICAL SPECIALISTS, PC

NPI Number
1952576431
Enumeration Date

(more than 18 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
NORTHEAST SURGICAL SPECIALISTS, PC
Primary location
43211 DALCOMA DR
SUITE 4
CILNTON TOWNSHIP, MI 48038-6309
Phone: (586) 286-8800 Fax: (586) 286-8068
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PETER KOWYNIA
OWNER
Phone: (586) 212-0606
Updated
Identifiers

Identifiers for NORTHEAST SURGICAL SPECIALISTS, PC

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
OTHERBLUE CROSS BLUE SHIELD OF MICHIGANMI02 0502600
MEDICAIDMI102873117
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)
MI 4301051240

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.