NPIMap

Organization Active NPI

Center for Hand & Extremity Reconstructive Surgery, PLC

  • Orthopaedic Hand Surgery Physician
  • Southfield, MI
National Provider Identifier
1255482816
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
4301056308 Issued in MI
Legal business name
CENTER FOR HAND & EXTREMITY RECONSTRUCTIVE SURGERY, PLC
Practice address
29829 Telegraph Rd
Suite 201
Southfield, MI 48034-1330
Phone
(248) 352-4263
Fax
(248) 352-2915
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Dr. Joseph Failla, M.D.NPI 1447241716
Title
Doctor
Phone
(616) 457-1490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X 4301056308 MI Primary
Durable Medical Equipment & Medical Supplies 332B00000X 4301056308 MI
Customized Equipment (DME) 332BC3200X 4301056308 MI

Addresses

Primary practice location

29829 Telegraph Rd
Suite 201
Southfield, MI 48034-1330

Mailing address

29829 Telegraph Rd
Suite 201
Southfield, MI 48034-1330
Phone (248) 352-4263

Other identifiers 1

IdentifierTypeStateIssuer
540F324290OtherMIBCBS DME PIN

National Provider Directory

National Provider Directory

Locations

29829 Telegraph Rd
Ste 201
Southfield, MI 48034
Phone (248) 352-4263

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1255482816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29829 TELEGRAPH RD",
            "address_2": "SUITE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341330",
            "telephone_number": "248-352-4263",
            "fax_number": "248-352-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29829 TELEGRAPH RD",
            "address_2": "SUITE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341330",
            "telephone_number": "248-352-4263",
            "fax_number": "248-352-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HAND & EXTREMITY RECONSTRUCTIVE SURGERY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "FAILLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "616-457-1490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "4301056308",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "4301056308",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MI",
            "license": "4301056308",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME PIN",
            "identifier": "540F324290",
            "state": "MI"
        }
    ],
    "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 Dec 15, 2016; 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.