Michigan Orthopedic Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MICHIGAN ORTHOPEDIC SERVICES LLC

Practice address

15400 Northline Rd.
Southgate, MI 48195-2333

Phone

(734) 530-0101

Fax

(734) 530-0102

NPI assigned

May 2, 2007

Last updated

Dec 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe Condon

Title

President/Ceo

Phone

(734) 513-8205

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1093937104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 FARMINGTON ROAD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481504207",
            "telephone_number": "734-513-8205",
            "fax_number": "734-293-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 NORTHLINE RD.",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952333",
            "telephone_number": "734-530-0101",
            "fax_number": "734-530-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN ORTHOPEDIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "734-513-8205"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3220750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Malecki Enterprises (Kneaded Relief Massage & Spa)
• Roberta Michels, AU.D.
• Michigan Ability Partners
• Michigan Hematology & Oncology Institute, P.C.
• Michigan Integrative Wellness PLLC
• Anna Mierkowicz, MA CCC-SLP
• Nancy A. Mihalik, LLP
• Monica Mikhail, BA SOCIAL WORK
• Helen Miklos
• Katherine Mikulin

• Durable Medical Equipment & Medical Supplies in Southgate, MI
• Providers in Southgate, 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 Dec 15, 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.