Provider Type Icon

MICHIGAN ORTHOPEDIC SURGERY AND REHABILITATION P.C. NPI 1295905743


NPI Information

NPI: 1295905743
Provider Name: MICHIGAN ORTHOPEDIC SURGERY AND REHABILITATION, P.C.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
6565 W MAIN ST
SUITE 235
KALAMAZOO, MI
ZIP 49009
Phone: (269) 544-4715
Get Directions

MICHIGAN ORTHOPEDIC SURGERY AND REHABILITATION, P.C. is an orthopaedic surgery in Kalamazoo, 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. MICHIGAN ORTHOPEDIC SURGERY AND REHABILITATION, P.C. NPI is 1295905743. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6565 W MAIN ST
SUITE 235
KALAMAZOO, MI
ZIP 49009-114
Phone: (269) 544-4715
Fax: (269) 544-4719

The provider's authorized official is Patti Pierman .
The authorized official title is Credentialing Specialist and has the following contact phone number (269) 341-6417.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 10/24/2017.


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
1207X00000XOrthopaedic Surgery4301041296MICHIGANYes

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
12003984572OTHERMICHIGANBLUE CROSS BLUE SHIELD
20210580001MEDICARE NSCMICHIGAN
32576506MEDICAIDMICHIGAN
4791203295OTHERR/R MEDICARE PIN
5B46963MEDICARE UPIN
60M80330MEDICARE PIN
72003984572OTHERMICHIGANBLUE CARE NETWORK

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: 11/14/2023

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.