Academic Surgical Associates, Pllc
LBN: Academic Surgical Associates, Pllc
Academic Surgical Associates, Pllc is an health care organization with primary practice located at 1000 E Paris Ave Se Suite 150, Grand Rapids MI 49546-3691. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as the primary health care specialty.
Academic Surgical Associates, Pllc can be contacted via phone (616) 977-6243, or through Scheeres, David E via phone (616) 977-3990.
Contact Information
Primary practice address
1000 E Paris Ave Se Suite 150
Grand Rapids MI 49546-3691
Phone: (616) 977-6243
Fax: (616) 977-0396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X |
Profile Details
| NPI number | 1114139045 |
|---|---|
| LBN Legal business name | Academic Surgical Associates, Pllc |
| DBA Doing business as | |
| Authorized official | Scheeres, David E Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Aug 6th, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114139045 | NPPES |
| Michigan | MEDICAID | 4736850 | |
| Michigan | MEDICAID | 4745617 | |
| Michigan | MEDICAID | 4745635 | |
| Michigan | MEDICAID | 4745608 | |
| Michigan | Other | 700D11379 |
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