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EAST LANSING ORTHOPEDIC ASSOCIATION P C NPI 1366448037


NPI Information

NPI: 1366448037
Provider Name: EAST LANSING ORTHOPEDIC ASSOCIATION P C
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
3394 E JOLLY RD
STE A
LANSING, MI
ZIP 48910
Phone: (517) 394-3200
Get Directions

EAST LANSING ORTHOPEDIC ASSOCIATION P C is an orthopaedic surgery in Lansing, 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. EAST LANSING ORTHOPEDIC ASSOCIATION P C NPI is 1366448037. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3394 E JOLLY RD
STE A
LANSING, MI
ZIP 48910-595
Phone: (517) 394-3200
Fax: (517) 394-4250

The provider's authorized official is David A Detrisac .
The authorized official title is President and has the following contact phone number (517) 394-3200.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 12/13/2018.


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 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
120-0C3-1063-0OTHERMICHIGANGROUP BC/BS
2G04755OTHERMICHIGANGROUP BCN

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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