Northwest Michigan Surgical Group, P.C.
NPI 1386659043ActiveOrganization· Surgery· Traverse City, MI
Surgery in Traverse City, Michigan, registered in NPPES in July 2006. The authorized official on file is James R. McDonnell, D.O., President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386659043 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2006 |
| Last updated in NPPES | Jul 25, 2025 |
| Certified by provider | Jul 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | JM008369 | MI |
| Surgery | 208600000X | — | — |
| Surgery, Vascular Surgery | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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