Organization Active NPI

Todd E Harburn Sports Medicine and Arthroscopic Orthopedic Surgery

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Okemos, MI
National Provider Identifier
1053627810
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
5101008108 Issued in MI
Legal business name
TODD E HARBURN SPORTS MEDICINE AND ARTHROSCOPIC ORTHOPEDIC SURGERY
Practice address
1841 Newman Rd
Okemos, MI 48864-1122
Phone
(517) 908-3360
Fax
(517) 908-3368
NPI assigned
Aug 31, 2010
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Dr. Todd E Harburn, D.O.NPI 1578552071
Title
Owner/Physician
Phone
(517) 908-3360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 5101008108 MI Primary

Addresses

Primary practice location

1841 Newman Rd
Okemos, MI 48864-1122

Mailing address

1841 Newman Rd
Okemos, MI 48864-1122
Phone (517) 908-3360

Other identifiers 1

IdentifierTypeStateIssuer
2583832MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1053627810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 NEWMAN RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641122",
            "telephone_number": "517-908-3360",
            "fax_number": "517-908-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 NEWMAN RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641122",
            "telephone_number": "517-908-3360",
            "fax_number": "517-908-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD E HARBURN SPORTS MEDICINE AND ARTHROSCOPIC ORTHOPEDIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "HARBURN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "517-908-3360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "5101008108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2583832",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.