Active NPI
Michigan Orthopedic Surgery and Rehabilitation, P.C.
- Orthopaedic Surgery Physician
- Kalamazoo, MI
National Provider Identifier
1295905743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301041296
- Legal business name
- MICHIGAN ORTHOPEDIC SURGERY AND REHABILITATION, P.C.
- Practice address
- 6565 W Main St
Suite 235
Kalamazoo, MI 49009-6114 - Phone
- (269) 544-4715
- Fax
- (269) 544-4719
- NPI assigned
- Mar 11, 2008
- 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
- Patti Pierman
- Title
- Credentialing Specialist
- Phone
- (269) 341-6417
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301041296 | MI | Primary |
Addresses
Primary practice location
6565 W Main St
Suite 235
Kalamazoo, MI 49009-6114
Mailing address
6565 W Main St
Suite 235
Kalamazoo, MI 49009-6114
Phone (269) 544-4715
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003984572 | Other | MI | BLUE CARE NETWORK |
| 2576506 | Medicaid | MI | |
| 2003984572 | Other | MI | BLUE CROSS BLUE SHIELD |
| 791203295 | Other | R/R MEDICARE PIN |
National Provider Directory
National Provider DirectoryLocations
6565 W Main St
Ste 235
Kalamazoo, MI 49009
Phone (269) 544-4715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508803200000",
"number": "1295905743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 W MAIN ST",
"address_2": "SUITE 235",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490096114",
"telephone_number": "269-544-4715",
"fax_number": "269-544-4719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 W MAIN ST",
"address_2": "SUITE 235",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490096114",
"telephone_number": "269-544-4715",
"fax_number": "269-544-4719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN ORTHOPEDIC SURGERY AND REHABILITATION, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-11",
"last_updated": "2017-10-24",
"status": "A",
"authorized_official_last_name": "PIERMAN",
"authorized_official_first_name": "PATTI",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "269-341-6417"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301041296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "2003984572",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2576506",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2003984572",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R/R MEDICARE PIN",
"identifier": "791203295",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.