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MUSKEGON SURGICAL ASSOCIATES PC NPI 1225101660


NPI Information

NPI: 1225101660
Provider Name: MUSKEGON SURGICAL ASSOCIATES PC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 23D1089754

Address:
1316 MERCY DR
MUSKEGON, MI
ZIP 49444
Phone: (231) 739-9461
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MUSKEGON SURGICAL ASSOCIATES PC is a surgery in Muskegon, MI. The provider is 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. MUSKEGON SURGICAL ASSOCIATES PC NPI is 1225101660. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1316 MERCY DR
MUSKEGON, MI
ZIP 49444-835
Phone: (231) 739-9461
Fax: (231) 733-8131

The provider's authorized official is Stephen N Zonca .
The authorized official title is Plastic Surgery and has the following contact phone number (231) 739-9461.

The CLIA number assigned to this NPI record is 23D1089754 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 4/20/2017.


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
1208200000XPlastic SurgeryNo
22086S0129XSurgeryVascular SurgeryNo
3225XH1200XOccupational TherapistHand5201006378MICHIGANNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5208600000XSurgeryYes

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
1OP01830MEDICARE ID-TYPE UNSPECIFIED
2CE6022OTHERMEDICARE RR

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: 5/5/2024

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