Mt Clemens Orthopaedic Appliances Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MT CLEMENS ORTHOPAEDIC APPLIANCES INC

Practice address

24432 Crocker Blvd
Clinton TWP, MI 48036

Phone

(586) 463-3600

Fax

(586) 463-6337

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rolf M Schroeter, CO

Title

President

Phone

(586) 463-3500

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1043395262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24432 CROCKER BLVD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-463-3600",
            "fax_number": "586-463-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24432 CROCKER BLVD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-463-3600",
            "fax_number": "586-463-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT CLEMENS ORTHOPAEDIC APPLIANCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "SCHROETER",
        "authorized_official_first_name": "ROLF",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-463-3500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NET",
            "identifier": "641",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2712116 TYPE 85",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "OE00690",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanea Moss
• Motherly Touch
• Shondra A Motloch, LPC
• Movement Physical Therapy LLC
• Mt Clemens Medical Equipment Inc
• Gloria Mueller
• Donald Brian Muir, MD
• Laurie Mundy
• Milca Mutangadura, RPH, PHARMD
• Amber Marie Myers, PMHNP-BC

• Durable Medical Equipment & Medical Supplies in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.