Beaumont Medical Group- Specialty Services
NPI 1578072906ActiveOrganization· Surgery· Royal Oak, MI
Surgery in Royal Oak, Michigan, registered in NPPES in September 2017. The authorized official on file is Jonathan Scott Maner, Sr. Vp Beaumont Physician Partners. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578072906 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2017 |
| Last updated in NPPES | Apr 7, 2020 |
| Certified by provider | Apr 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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