MICHIGAN INSTITUTE FOR ADVANCED SURGERY CENTER LLC NPI 1619077211

NPI Details

MICHIGAN INSTITUTE FOR ADVANCED SURGERY CENTER, LLC is an ambulatory surgical clinic center in Lake Orion, MI. MICHIGAN INSTITUTE FOR ADVANCED SURGERY CENTER, LLC NPI is 1619077211. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1375 S LAPEER ROAD
SUITE 109
LAKE ORION, MI
ZIP 48360
Phone: (248) 693-7950
Fax: (248) 693-2658

The provider's authorized official is James Duffy .
The authorized official title is Vp Operations and has the following contact phone number (804) 869-4330.

The CLIA number assigned to this NPI record is 23D1061982 - 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.

• Replacement of knee joint, both sides of knee (HCPCS:27447)
• Release and/or relocation of hand nerve (HCPCS:64721)
• Replacement of knee joint on side of knee (HCPCS:27446)
• Incision of tendon covering of finger (HCPCS:26055)
• Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
• Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
• Removal of both knee cartilages using an endoscope (HCPCS:29880)
• Removal of knee cartilage using an endoscope (HCPCS:29881)
• Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)

The enumeration date for this NPI number is 9/24/2006 and was last updated on 5/21/2025.

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: