NPIMap

Organization Active NPI

Orthopedic Trauma Specialists PLLC

  • Orthopaedic Trauma Physician
  • Novi, MI
National Provider Identifier
1013185966
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
012323 Issued in MI
Legal business name
ORTHOPEDIC TRAUMA SPECIALISTS PLLC
Practice address
25500 Meadowbrook Rd
Suite 275
Novi, MI 48375-1878
Phone
(248) 381-5778
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Dr. Robert P Colen, D.O.
Title
Physician
Phone
(248) 697-9839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0801X 012323 MI Primary

Addresses

Primary practice location

25500 Meadowbrook Rd
Suite 275
Novi, MI 48375-1878

Mailing address

PO Box 737
Farmington, MI 48332-0737
Phone (248) 697-9839

Other identifiers 2

IdentifierTypeStateIssuer
4650148MedicaidMI
2058218714OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

25500 Meadowbrook Rd
Ste 275
Novi, MI 48375
Phone (248) 381-5777

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1013185966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483320737",
            "telephone_number": "248-697-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "SUITE 275",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "248-381-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC TRAUMA SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "COLEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-697-9839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MI",
            "license": "012323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4650148",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "2058218714",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.