Anderson Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4301074015 Issued in MI

Legal business name

ANDERSON SPORTS MEDICINE

Practice address

32270 Telegraph Rd Ste 220B
Bingham Farms, MI 48025-2456

Phone

(248) 480-9080

Fax

(248) 480-9081

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Kyle Anderson, M.D.NPI 1952383176

Title

Owner

Phone

(248) 663-1900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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

• Kyle Anderson, M.D.

  • Orthopaedic Surgery Physician
  • Bingham Farms, MI
  • NPI 1952383176
  Medicare reassignment Care Compare group Authorized official
• Rikhev Kashyap, DO

  • Sports Medicine (Family Medicine) Physician
  • Bingham Farms, MI
  • NPI 1457842965
  Medicare reassignment Care Compare group
• Julie Walters Lipa, PA-C

  • Physician Assistant
  • Southfield, MI
  • NPI 1154760650
  Medicare reassignment Care Compare group
• Lauren Demetra Stoff, NP-C

  • Nurse Practitioner
  • Bingham Farms, MI
  • NPI 1194355354
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1225455991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32270 TELEGRAPH RD STE 220B",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252456",
            "telephone_number": "248-480-9080",
            "fax_number": "248-480-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32270 TELEGRAPH RD STE 220B",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252456",
            "telephone_number": "248-480-9080",
            "fax_number": "248-480-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-663-1900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301074015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Jundi MD PC
• Amity Internal Medicine, PC
• Lina Ammar
• Tyler Amores, DMSC, PA-C
• Anita Amos
• Alysia Anderson
• Crystal Anderson
• Jasmine a Anderson
• Kayla L Anderson
• Kiarrah Anderson

• Orthopaedic Surgery Physician in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.