MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC NPI 1669809612

NPI Information

  • NPI: 1669809612
  • Provider Name: MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • CLIA Number: 23D2164070
  • Address: 29624 WOODWARD AVE
    ROYAL OAK, MI
    ZIP 48073
  • Phone: (248) 215-8080

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NPI Details

MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC is an orthopaedic surgery of the spine orthopaedic surgery in Royal Oak, MI. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC NPI is 1669809612. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29624 WOODWARD AVE
ROYAL OAK, MI
ZIP 48073-905
Phone: (248) 215-8080
Fax: (248) 289-1085

The provider's authorized official is Richard W Easton .
The authorized official title is Medical Director and has the following contact phone number (248) 215-8095.

The CLIA number assigned to this NPI record is 23D2164070 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2013 and was last updated on 10/7/2013.

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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine4301051364MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MI6005MEDICARE PINMICHIGAN

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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