East Lansing Orthopedic Association P C

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

EAST LANSING ORTHOPEDIC ASSOCIATION P C

Practice address

3394 E Jolly Rd
Ste a
Lansing, MI 48910-8595

Phone

(517) 394-3200

Fax

(517) 394-4250

NPI assigned

Jun 27, 2005

Last updated

Dec 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David A Detrisac, MDNPI 1730185539

Title

President

Phone

(517) 394-3200

Specialties & licenses 1

Addresses

Practitioners 1

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.

• David A Detrisac, MD

  • Orthopaedic Surgery Physician
  • Lansing, MI
  • NPI 1730185539
  Authorized official Same address or phone

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1366448037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3394 E JOLLY RD",
            "address_2": "STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108595",
            "telephone_number": "517-394-3200",
            "fax_number": "517-394-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 E JOLLY RD",
            "address_2": "STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108595",
            "telephone_number": "517-394-3200",
            "fax_number": "517-394-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LANSING ORTHOPEDIC ASSOCIATION P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "DETRISAC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-394-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parthasarathy Eappakkam Kumaraswamy, DSCPT, OCS, FAAOMPT
• Jessica Earl, LLBSW
• Early Learning Institute LLC
• Trisha Lee Easley, LPC
• East Lansing Dental PLLC
• East Michigan Family Care PLC (East Michigan Family Care)
• Talitha P Easterly, PH.D
• Eastside Community Action Center
• Eaton Care Center, LLC (Regency at Lansing West)
• Eaton Rapids Medical Center

• Orthopaedic Surgery Physician in Lansing, MI
• Providers in Lansing, 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 Dec 13, 2018; 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.