Sjmhs Livingston Orthopedic Surgical Group

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

Legal business name

SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP

Practice address

5315 Elliot Dr
Suite 304
Ypsilanti, MI 48197

Phone

(734) 712-0655

Fax

(734) 712-0611

NPI assigned

Oct 31, 2017

Organization subpart

Yes

Parent organization

SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GRAs reported in NPPES

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

Authorized official

Name

Michael Gusho

Title

RHM Cfo Semi

Phone

(734) 398-0642

Specialties & licenses 1

Addresses

Other names 1

• Ortho Trauma St Joes-AA Doing business as

Part of

Sjmhs Livingston Orthopedic

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1417469453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 GRAND RIVER RD STE 114",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149390",
            "telephone_number": "810-844-7785",
            "fax_number": "810-844-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 ELLIOT DR",
            "address_2": "SUITE 304",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-712-0655",
            "fax_number": "734-712-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GR",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "GUSHO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "RHM CFO SEMI",
        "authorized_official_telephone_number": "734-398-0642"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ortho Trauma St Joes-AA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Sipsock
• Morgan Sisung, LMSW
• Morgan Siterlet
• Sjmhs Anesthesia Services
• Sjmhs Anesthesia Services
• Sjmhs Orthopedic Services
• Sjmhs Specialty Physicians
• Skill and Ability Education
• Skill Therapy, PLLC
• Katie Skinner, AT, ATC

• Orthopaedic Trauma Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Orthopaedic Trauma Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.