Organization Active NPI

Orthopedic Solutions of Northern Michigan

  • Orthopaedic Surgery Physician
  • Tawas City, MI
National Provider Identifier
1205243813
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101013730 Issued in MI
Legal business name
ORTHOPEDIC SOLUTIONS OF NORTHERN MICHIGAN
Practice address
295 Maple St
Ste 201
Tawas City, MI 48763-9352
Phone
(989) 820-7339
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Dr. John P Blocksom, D.O.
Title
Physician
Phone
(989) 820-7339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 5101013730 MI Primary

Addresses

Primary practice location

295 Maple St
Ste 201
Tawas City, MI 48763-9352

Mailing address

295 Maple St
Ste 201
Tawas City, MI 48763-9352

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1205243813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MAPLE ST",
            "address_2": "STE 201",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MAPLE ST",
            "address_2": "STE 201",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639352",
            "telephone_number": "989-820-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SOLUTIONS OF NORTHERN MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "BLOCKSOM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "989-820-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101013730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tawas City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.