SOUTH EASTERN MICHIGAN COLON & RECTAL SURGERY – NPI #1497119689
Colon & Rectal Surgery

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

SOUTH EASTERN MICHIGAN COLON & RECTAL SURGERY is a colon & rectal surgeon located in WAYNE, MI. NPPES has assigned the NPI number 1497119689 to SOUTH EASTERN MICHIGAN COLON & RECTAL SURGERY on April 13, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208C00000X from the Health Care Provider Taxonomy code set, which is classified as Colon & Rectal Surgery.

The NPI profile was previously updated about 6 years ago on Nov 17, 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 SOUTH EASTERN MICHIGAN COLON & RECTAL SURGERY below.

NPI Profile for
SOUTH EASTERN MICHIGAN COLON & RECTAL SURGERY

NPI Number
1497119689
Enumeration Date

(more than 10 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
SOUTH EASTERN MICHIGAN COLON & RECTAL SURGERY
Primary location
3106 S WAYNE RD
WAYNE, MI 48184-1221
Phone: (734) 722-1063 Fax: (734) 722-4815
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ADEWUNMI ADEYEMO
OWNER
Phone: (743) 722-6300
Updated
Certification Date
Nov 17, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTH EASTERN MICHIGAN COLON & RECTAL SURGERY

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
MEDICAIDMI1497119689
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
208C00000X
- Colon & Rectal 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.