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Contact Information

ASCENSION MEDICAL GROUP MICHIGAN
11900 E 12 MILE RD
SUITE 110
WARREN, MI48093-3400
 Phone: 586-582-7070
 Fax: 586-582-7066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ASCENSION MEDICAL GROUP MICHIGAN

NPI # 1023041852
LBN Legal business name ASCENSION MEDICAL GROUP MICHIGAN
Authorized official RACHEL PERRY - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2006
Last updated 04/16/2025 - More than a year ago
Identifiers
MI Other 0E011770 BCBSM GROUP NUMBER
MI Other CB2735 RAILROAD MEDICARE GROUP NUMBER
MI Other CG1891 RAILROAD MEDICARE GROUP NUMBER
MI Other CG1892 RAILROAD MEDICARE GROUP NUMBER
MI Other CG3113 RAILROAD MEDICARE GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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