ETHAN GRAHAM ENGLERT MD NPI 1548634330

NPI Information

  • NPI: 1548634330
  • Provider Name: ETHAN GRAHAM ENGLERT, MD
  • Classification: Orthopaedic Surgery - 207XP3100X
  • Specialization: Pediatric Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3601 W 13 MILE RD
    ROYAL OAK, MI
    ZIP 48073
  • Phone: (248) 551-3140

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NPI Details

Ethan Graham Englert, MD is a pediatric orthopaedic surgery orthopaedic surgery in Royal Oak, MI with 7 years of experience. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. Ethan Graham Englert, MD NPI is 1548634330. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:2019

The provider's business location address is:

3601 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073
Phone: (248) 551-3140
Fax: (248) 551-5404

The NPI 1548634330 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2015 and was last updated on 6/13/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery4351045178MICHIGANNo
2207XP3100XOrthopaedic SurgeryPediatric Orthopaedic Surgery14213758-1205UTAHYes

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: 11/21/2025

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