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ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC NPI 1679839146


NPI Information

NPI: 1679839146
Provider Name: ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 23D2037043

Address:
80 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 459-7101
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ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC is a prosthetic orthotic supplier in Grand Rapids, MI. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC NPI is 1679839146. The provider is registered as an organization entity type.

The provider's business location address is:

80 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548-980
Phone: (616) 459-7101

The provider's authorized official is Patrick Reid .
The authorized official title is Ceo and has the following contact phone number (616) 459-7101.

The CLIA number assigned to this NPI record is 23D2037043 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2012 and was last updated on 7/17/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierCP01303MICHIGANYes

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
10D14869MEDICARE PINMICHIGAN
20442790004MEDICARE NSCMICHIGAN

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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