OrganizationActive
Sandusky Surgical PLLC
NPI 1093762742 · Clinic/Center · Sandusky, MI
Sandusky Surgical PLLC is a Clinic/Center organization in Sandusky, MI (NPI 1093762742).
Provider details
- NPI number
- 1093762742
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Khristine Botezan, President(810) 648-9670
- License
- 4301084929 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
150 N Delaware St
Sandusky, MI 48471-1009
Phone: (810) 648-9670
Fax: (810) 648-9677
Street-level locationGet directions
Mailing address
Po Box 191
Sandusky, MI 48471-0191
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2008-01-03
Frequently asked questions
- What is Sandusky Surgical PLLC's NPI number?
- Sandusky Surgical PLLC's National Provider Identifier (NPI) is 1093762742, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sandusky Surgical PLLC?
- Sandusky Surgical PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sandusky Surgical PLLC located?
- Sandusky Surgical PLLC's practice location on file with NPPES is 150 N Delaware St, Sandusky, MI 48471-1009.
- What is Sandusky Surgical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sandusky Surgical PLLC is (810) 648-9670.
- Who is the authorized official for Sandusky Surgical PLLC?
- The authorized official listed on Sandusky Surgical PLLC's NPPES record is Khristine Botezan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sandusky Surgical PLLC's NPI active?
- Yes — Sandusky Surgical PLLC's NPI (1093762742) is active in the NPPES registry as of the last update on 2008-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.