Active NPI
Bone and Joint Care of West Michigan PLC
- Orthopaedic Surgery Physician
- Grand Rapids, MI
National Provider Identifier
1164443149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- BONE AND JOINT CARE OF WEST MICHIGAN PLC
- Practice address
- 1900 Wealthy St SE
Suite 290
Grand Rapids, MI 49506-2969 - Phone
- (616) 774-0440
- Fax
- (616) 774-0818
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Michelle Day, M.D.
- Title
- Partner
- Phone
- (616) 774-0440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1900 Wealthy St SE
Suite 290
Grand Rapids, MI 49506-2969
Mailing address
PO Box 3140
Grand Rapids, MI 49501-3140
Phone (616) 774-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK5012 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Orthopaedic Surgery Physician
- Grand Rapids, MI
- NPI 1649208497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186704000000",
"number": "1164443149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3140",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495013140",
"telephone_number": "616-774-0440",
"fax_number": "616-774-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 WEALTHY ST SE",
"address_2": "SUITE 290",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495062969",
"telephone_number": "616-774-0440",
"fax_number": "616-774-0818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BONE AND JOINT CARE OF WEST MICHIGAN PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2007-08-10",
"status": "A",
"authorized_official_last_name": "DAY",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "616-774-0440",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CK5012",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.