NPIMap

Organization Active NPI

Michigan Orthopaedic Surgeons PLLC

  • Durable Medical Equipment & Medical Supplies
  • West Bloomfield, MI
National Provider Identifier
1063950871
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 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
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MICHIGAN ORTHOPAEDIC SURGEONS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Dr. David Collon, MDNPI 1194707497
Title
Executive Committee Member
Phone
(248) 244-8431

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Orthopaedic Surgery Physician 207X00000X

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 1

  • Michigan Orthopaedic Institute Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

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

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
Michigan Orthopaedic Surgeons PLLC8 organizations share this tax ID, including this one
Part of
Michigan Orthopaedic Surgeons PLLC

Other organizations with this tax ID 7

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

Locations

26211 Central Park Blvd
Ste 201
Southfield, MI 48076
Phone (248) 845-4381

33200 W 14 Mile Rd
Ste 220
West Bloomfield, MI 48322
Phone (248) 855-7400

Ownership & related parties

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.

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": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1063950871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26025 LAHSER RD",
            "address_2": "THIRD FLOOR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332606",
            "telephone_number": "248-663-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "STE 220",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223563",
            "telephone_number": "248-663-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN ORTHOPAEDIC SURGEONS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN ORTHOPAEDIC SURGEONS PLLC",
        "enumeration_date": "2017-02-01",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "COLLON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE COMMITTEE MEMBER",
        "authorized_official_telephone_number": "248-244-8431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Orthopaedic Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.