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ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC NPI 1023021300


NPI Information

NPI: 1023021300
Provider Name: ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC

Doing Business As: ORTHOPAEDIC ASSOCIATES OF MICHIGAN

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 459-7101
Get Directions

ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC is an orthopaedic surgery in Grand Rapids, MI. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC NPI is 1023021300. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Orthopaedic Associates Of Michigan.

The provider's business location address is:

1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI
ZIP 49525-406
Phone: (616) 459-7101
Fax: (616) 954-6483

The provider's authorized official is Joel Young .
The authorized official title is Revenue Cycle Director and has the following contact phone number (616) 459-7101.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 7/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0000XPain MedicinePain MedicineNo
2335E00000XProsthetic/Orthotic SupplierCP01303MICHIGANNo
3363A00000XPhysician AssistantNo
4363LF0000XNurse PractitionerFamilyNo
5207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10D14869MEDICARE PIN
20P18140MEDICARE PINMICHIGAN
3CK3443MEDICARE PIN
4CM0309MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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