Active NPI
Performance Orthopedics of Michigan PLLC
- Orthopaedic Surgery Physician
- Southfield, MI
National Provider Identifier
1184126906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PERFORMANCE ORTHOPEDICS OF MICHIGAN PLLC
- Practice address
- 27207 Lahser Rd Ste 108
Southfield, MI 48034-8470 - Phone
- (482) 792-4100
- Fax
- (248) 792-4110
- NPI assigned
- Mar 7, 2018
- Last updated
- Aug 6, 2020
- 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
- Robert David Swift, DO
- Title
- Director
- Phone
- (615) 618-5555
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
27207 Lahser Rd Ste 108
Southfield, MI 48034-8470
Mailing address
Performance Orthopedics of Michigan PLLC PO Box 771060
Chicago, IL 60677-0001
Phone (615) 618-5555
National Provider Directory
National Provider DirectoryLocations
16100 19 Mile Rd
Ste 252
Clinton Township, MI 48038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596672000000",
"number": "1184126906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PERFORMANCE ORTHOPEDICS OF MICHIGAN PLLC PO BOX 771060",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606770001",
"telephone_number": "615-618-5555",
"fax_number": "248-792-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27207 LAHSER RD STE 108",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480348470",
"telephone_number": "482-792-4100",
"fax_number": "248-792-4110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE ORTHOPEDICS OF MICHIGAN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-07",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A",
"authorized_official_last_name": "SWIFT",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-618-5555",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.