Family Orthopedic Associates P L C
Organization Active NPI Orthopaedic Surgery Physician · Lapeer, MI
NPI 1124360102 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1124360102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- FAMILY ORTHOPEDIC ASSOCIATES P L C
- Practice address
- 307 S Court St
Lapeer, MI 48446-2514 - Phone
- (810) 667-6110
- Fax
- (810) 667-3562
- NPI assigned
- Mar 18, 2013
- Organization subpart
- No
Authorized official
- Name
- Jennifer Kelsey
- Title
- Director of Operations
- Phone
- (810) 733-1200
Other NPIs with the same Medicare PAC ID 3
Practitioners 44
-
Nicole Marie McKenna, PA-C
-
Hossein Tabrizi, MD
-
Caitlin Marie Bearss, DPT
-
Jaclyn Brothers, PA-C
-
Matthew Coon, DO
-
Arun George Dass, MD
-
Scott Delange, DPT
-
Jessica Lynn Douglas, PA-C
-
Amanda Rae Emke, PA-C, MS
-
Hayley Olivia Gabriel, PA-C
-
Mona Lee Goatley, PT
-
Shelby Kilbreath, OT
-
Britt A Laing, DPT
-
Stacey Anne Mapes, OTRL,CHT,CLT,LMT
-
Jacob Martin, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130515000140 | MI | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 6800888124 | Practice locations: Lapeer, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Physician Assistant |
363A00000X |
Addresses
Primary practice location
307 S Court St
Lapeer, MI 48446-2514
Mailing address
4466 W Bristol Rd
Flint, MI 48507-3170
Phone (810) 733-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0D40100 | Other | MI | BCBSM |
Other names
- OrthoMichigan/OrthoMichigan Therapy Services
Other providers in Lapeer, MI
- Lauren Emmons
- Sarah Emmons
- Baha David Essak
- Excellence Microdental Center
- Alexandria Falco
- Family Orthopedic Associates P L C
- Kristin Fantin
- Linda Fares
- Mariam Farhood
- Susan Farro
All providers in Lapeer, MI · Orthopaedic Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.