MARK ANDREW KWARTOWITZ, DO - NPI NUMBER 1962448803

Summary

Provider Name: MARK ANDREW KWARTOWITZ, DO

NPI Number: 1962448803

Clasification: Orthopaedic Surgery (207X00000X)

Organization: RONALD S LEDERMAN, MD, PLLC

Address:
2300 HAGGERTY RD
SUITE 1110
WEST BLOOMFIELD, MI
ZIP 48323

Phone Number: (248) 669-2000



Detailed Information

Mark Andrew Kwartowitz, DO is an orthopaedic surgeon in West Bloomfield, MI with 19 years of experience. 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. The assigned NPI number for this provider is 1962448803 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year: 1996

The provider's business address is:

2300 HAGGERTY RD
SUITE 1110
WEST BLOOMFIELD, MI
ZIP 48323-184
Phone: (248) 669-2000
Fax: (248) 669-2110

The enumeration date for this NPI number is 6/21/2006 and was last updated on 3/9/2015.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1003890187 MARK D MACKEY, M.D
Orthopaedic Surgery
1053394965 DR. MARK ANDREW KAMIL, M.D.
Orthopaedic Surgery
1003966151 DR. BRENDA L SANFORD, M.D.
Orthopaedic Surgery
1205987856 GENERAL ORTHOPEDICS, PC
Orthopaedic Surgery
1184996738 KEEGO HARBOR ORTHOPEDIC
Orthopaedic Surgery
1184656241 DR. RICHARD S BARTHOLOMEW, D.O.
Orthopaedic Surgery
1205050994 DR. AHMAD M HADIED, MD
Orthopaedic Surgery





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207X00000X Orthopaedic Surgery 5101013112 MI Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 H78204 MEDICARE UPIN
2 N95120002 MEDICARE PIN MI

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1962448803 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name KWARTOWITZ The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name MARK The first name of the provider, if the provider is an individual.
5 Provider Middle Name ANDREW The middle name of the provider, if the provider is an individual.
6 Provider Credential Text DO The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
7 Provider First Line Business Practice Location Address 2300 HAGGERTY RD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Second Line Business Practice Location Address SUITE 1110 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address City Name WEST BLOOMFIELD The city name in the location address of the provider being identified.
10 Provider Business Practice Location Address State Name MI The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 483232184 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 2486692000 The telephone number associated with the location address of the provider being identified.
14 Provider Business Practice Location Address Fax Number 2486692110 The fax number associated with the location address of the provider being identified.
15 Provider Enumeration Date 6/21/2006 The date the provider was assigned a unique identifier (assigned an NPI).
16 Last Update Date 3/9/2015 The date that a record was last updated or changed.
17 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
18 Healthcare Provider Taxonomy Code 1 207X00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
19 Provider License Number 1 5101013112 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
20 Provider License Number State Code 1 MI The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 H78204 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier Type Code 1 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
24 Other Provider Identifier 2 N95120002 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier Type Code 2 08 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
26 Other Provider Identifier State 2 MI
27 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.