Active NPI
Orthopedic Trauma Specialist PLLC
- Orthopaedic Trauma Physician
- Detroit, MI
National Provider Identifier
1457581183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- 012323
- Legal business name
- ORTHOPEDIC TRAUMA SPECIALIST PLLC
- Practice address
- 4201 Saint Antoine St
Detroit, MI 48201-2153 - Phone
- (248) 697-9839
- NPI assigned
- Jul 15, 2009
- 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
- Mrs. Lori Hoy
- Title
- Billing Manager
- Phone
- (248) 697-9839
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | 012323 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
Detroit, MI 48201-2153
Mailing address
PO Box 737
Farmington, MI 48332-0737
Phone (248) 697-9839
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247616000000",
"number": "1457581183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 737",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483320737",
"telephone_number": "248-697-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "248-697-9839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC TRAUMA SPECIALIST PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-15",
"last_updated": "2009-07-15",
"status": "A",
"authorized_official_last_name": "HOY",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "248-697-9839",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "MI",
"license": "012323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.