Cadillac Surgery Center, LLC · Surgery Physician

7665 S Us 131 Hwy, Cadillac, MI 49601

Overview

Cadillac Surgery Center, LLC is a Surgery Physician (organization) practicing in Cadillac, Michigan. The National Provider Identifier (NPI) is #1154208445, which was assigned on August 19, 2025, and the registration record was last updated on August 19, 2025. The practitioner's main practice location is at 7665 S Us 131 Hwy, Cadillac, MI 49601; the contact telephone number is 2318767411. The primary taxonomy of Cadillac Surgery Center, LLC is Surgery Physician (208600000X). The authorized official for Cadillac Surgery Center, LLC is Peter Edward Marinoff (President/Ceo South Reigon).

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Provider Information

NPI 1154208445
Entity Type Organization
Organization Name CADILLAC SURGERY CENTER, LLC
Provider Name CADILLAC SURGERY CENTER, LLC
Practice Address 7665 S Us 131 Hwy
Cadillac
MI 49601
Practice Telephone 2318767411
Mailing Address 7665 S Us 131 Hwy
Cadillac
MI 49601
Mailing Telephone 2318767411
Certification Date 2025-08-14
Enumeration Date 2025-08-19
Last Update Date 2025-08-19
Is Organization Subpart N

Authorized Official Information

Official Name PETER EDWARD MARINOFF
Official Title PRESIDENT/CEO SOUTH REIGON
Telephone 2313522285

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y208600000XSurgery193200000X MULTI-SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 208600000X
Taxonomy Surgery Physician
Classification Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Chase Alan Delong 200 Hawkins Dr, Iowa City, IA 52242-1009Surgery Physician2026-06-05
Marie Comeaux 1214 Coolidge Blvd, Lafayette, LA 70503-2621Surgery Physician2026-06-04
Mor Shlomi Glasel 10920 Mckinley Dr, Tampa, FL 33612-6471Surgery Physician2026-06-03
Zachary Alex Bennehoff 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203Surgery Physician2026-06-04
Brandon Ciak 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202-9037Surgery Physician2026-05-30
Lucas Olivier Topie 1000 Houghton Ave, Saginaw, MI 48602-5303Surgery Physician2026-06-03
Novant Health Medical Group Coastal Region, LLC 2739 Iron Gate Dr, Wilmington, NC 28412-3731Surgery Physician2026-06-01
Steven Schlichtemeier Wagga Wagga Base Hospital, Po Box 159, Wagga Wagga, New South Wales 02650, AUSurgery Physician2026-06-01
North Broward Hospital District 1600 S Andrews Ave Ste 1071, Fort Lauderdale, FL 33316-2510Surgery Physician2026-06-02
Maxwell Lidstone 301 University Blvd, Galveston, TX 77555-0541Surgery Physician2026-06-01
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Location Information

Street Address 7665 S US 131 HWY
City CADILLAC
State MI
Zip Code 49601
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
James David Shadoan 133 N. Shore Dr E., Cadillac, MI 49601Family Medicine Physician2014-11-24
Serenity Adult Foster Care Home LLC 2883 S. 41 Rd., Cadillac, MI 49601Foster Care Agency2013-07-29
Melissa Suriano 932 N Mitchel St, Cadillac, MI 49601Behavior Technician2022-10-24
Tricia Wing 704 Oak Street, Cadillac, MI 49601Physical Therapist2018-03-16
Catherine Larson 527 Cobbs Street, Cadillac, MI 49601Psychiatric/Mental Health Registered Nurse2013-02-22
Hailey Amlott Walgreens 07660, 1220 N. Mitchell Street, Cadillac, MI 49601Pharmacist2020-08-27
Cameron Dehaan 7800 Us 131 South, Cadillac, MI 49601Student in an Organized Health Care Education/Training Program2013-05-01
Kristine Treston Kowalewsky 9065 34th Rd, Cadillac, MI 49601Family Nurse Practitioner2022-09-21
Curry House 5858 S 47 Rd., Cadillac, MI 49601Nursing Home Administrator2013-07-05
Amanda Marie Herrick 9116 E 13th St, Cadillac, MI 49601Professional Counselor2017-09-08
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.