Michigan Orthopaedic Surgeons PLLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · West Bloomfield, MI

NPI 1063950871 · NPPES record last updated Jan 30, 2024

Key facts

NPI
1063950871
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
MICHIGAN ORTHOPAEDIC SURGEONS PLLC
Practice address
33200 W 14 Mile Rd
Ste 220
West Bloomfield, MI 48322-3563
Phone
(248) 663-1900
NPI assigned
Feb 1, 2017
Organization subpart
Yes
Parent organization (as reported)
MICHIGAN ORTHOPAEDIC SURGEONS PLLC

Authorized official

Name
Dr. David Collon, MD
Title
Executive Committee Member
Phone
(248) 244-8431

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 127

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

View all 127

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170306001671 MI DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7810277811 Practice locations: West Bloomfield, MI

National Provider Directory

Tax ID family
Michigan Orthopaedic PLLC (8 organizations share this tax ID)
Part of
Michigan Orthopaedic PLLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207X00000X
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

33200 W 14 Mile Rd
Ste 220
West Bloomfield, MI 48322-3563

Mailing address

26025 Lahser Rd
Third Floor
Southfield, MI 48033-2606
Phone (248) 663-1900

Other names

  • Michigan Orthopaedic Institute Other name

Other providers in West Bloomfield, MI

All providers in West Bloomfield, MI · Durable Medical Equipment & Medical Supplies in Michigan

Sources for this page

Verify at the official NPI Registry.