Organization Active NPI

Orthopaedic Center of Mid-Michigan P C

  • Specialist
  • Saginaw, MI
National Provider Identifier
1154519171
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301055237 Issued in MI
Legal business name
ORTHOPAEDIC CENTER OF MID-MICHIGAN P C
Practice address
3875 Bay Rd
Ste 2S
Saginaw, MI 48603-2417
Phone
(989) 793-1372
Fax
(989) 793-4518
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Mrs. Carol M Kern
Title
Administrator
Phone
(989) 793-1372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301055237 MI Primary

Addresses

Primary practice location

3875 Bay Rd
Ste 2S
Saginaw, MI 48603-2417

Mailing address

3875 Bay Rd
Ste 2S
Saginaw, MI 48603-2417
Phone (989) 793-1372

Other identifiers 2

IdentifierTypeStateIssuer
CF8475OtherMIRAILROAD MEDICARE
0G31277OtherMIBCBSM PIN

National Provider Directory

National Provider Directory

Locations

3875 Bay Rd
Ste 2S
Saginaw, MI 48603
Phone (989) 583-5370

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1154519171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 BAY RD",
            "address_2": "STE 2S",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032417",
            "telephone_number": "989-793-1372",
            "fax_number": "989-793-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 BAY RD",
            "address_2": "STE 2S",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032417",
            "telephone_number": "989-793-1372",
            "fax_number": "989-793-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC CENTER OF MID-MICHIGAN P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-793-1372",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301055237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF8475",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "0G31277",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.