Michigan Center for Orthopedic Surgery PLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MICHIGAN CENTER FOR ORTHOPEDIC SURGERY PLC

Practice address

17200 Silver Pkwy
Fenton, MI 48430-3423

Phone

(810) 714-9660

Fax

(810) 714-9661

NPI assigned

Jul 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shivajee V Nallamothu, D. O.

Title

Owner

Phone

(248) 620-2325

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8129/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Louise Delzer, PA

  • Physician Assistant
  • Rochester, MI
  • NPI 1932466034
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1003079344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR",
            "address_2": "STE 300",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463198",
            "telephone_number": "248-620-2325",
            "fax_number": "248-620-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 SILVER PKWY",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303423",
            "telephone_number": "810-714-9660",
            "fax_number": "810-714-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CENTER FOR ORTHOPEDIC SURGERY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "NALLAMOTHU",
        "authorized_official_first_name": "SHIVAJEE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-620-2325",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph E Mesh, D.M.D.
• Michael D Zerafa PLLC
• Michael J Kirby MD PLC
• Michael S. O'Hara, P.C. (Fenton Physical Therapy)
• Brian Andrew Michalkow, DDS
• Michigan Language Crafters (Simpli Speech)
• Michigan Specialty Care Pharmacy LLC (B&C'S Pharmacy)
• Ashleigh Beth Miller, RN
• Kelaine Miller, LPC
• Kenneth Miller

• Orthopaedic Surgery Physician in Fenton, MI
• Providers in Fenton, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.