Michiana Orthopaedics and Sports Medicine, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4301077154 Issued in MI

Legal business name

MICHIANA ORTHOPAEDICS AND SPORTS MEDICINE, INC.

Practice address

600 S Lakeview Ave
Suite 105
Sturgis, MI 49091-2371

Phone

(269) 651-9470

Fax

(269) 651-3771

NPI assigned

Mar 11, 2008

Last updated

Mar 11, 2008By 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. Edward E Griffin Jr., M.D.

Title

President

Phone

(269) 651-9470

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1437329992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S LAKEVIEW AVE",
            "address_2": "SUITE 105",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490912371",
            "telephone_number": "269-651-9470",
            "fax_number": "269-651-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S LAKEVIEW AVE",
            "address_2": "SUITE 105",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490912371",
            "telephone_number": "269-651-9470",
            "fax_number": "269-651-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA ORTHOPAEDICS AND SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-651-9470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301077154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4243455",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0750055",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Meinke
• Nicole R F Merchant, MA LPC
• Darren Mercier
• Darren Lee Meyer, OD
• Michael L Sussex OD PC (Sussex Vision Center)
• Michiana Women's Center, PLLC
• Michianna Surgical Associates PC
• Michigan Agency With Choice
• Michigan Em-I Medical Services, P.C.
• Midwest Optometry Group, PLLC

• Orthopaedic Surgery Physician in Sturgis, MI
• Providers in Sturgis, 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 Mar 11, 2008; 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.