PH General Surgery/Providence Hospital and Medical Centers Inc – Surgery Physician, NPI 1942265236
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PH General Surgery/Providence Hospital and Medical Centers Inc
Ascension Providence Hospital, Southfield Campus, 16001, West 9 Mile Road, Southfield, Oakland County, Michigan, 48075, United States
SOUTHFIELD, MI 480754818
Phone: (248) 849-3000
Fax: (248) 849-2244
Type: Location
28000 DEQUINDRE RD
WARREN, MI 480922468
Phone: (248) 680-8000
Fax: (248) 292-3852
Type: Mailing
2800, Livernois Road, Troy, Oakland County, Michigan, 48083, United States
SUITE 500
TROY, MI 480831215
Phone: (248) 680-8000
Fax: (248) 680-8031
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-11-03
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48075)
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