Organization Active NPI

Michigan Orthopedic Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Livonia, MI
National Provider Identifier
1467439059
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MICHIGAN ORTHOPEDIC SERVICES LLC
Practice address
13450 Farmington Road
Livonia, MI 48150-4207
Phone
(734) 513-8205
Fax
(734) 513-8219
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Joe Condon
Title
President/Ceo
Phone
(734) 513-8205

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

13450 Farmington Road
Livonia, MI 48150-4207

Mailing address

13450 Farmington Road
Livonia, MI 48150-4207
Phone (734) 513-8205

Other identifiers 1

IdentifierTypeStateIssuer
3220750MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1467439059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 FARMINGTON ROAD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481504207",
            "telephone_number": "734-513-8205",
            "fax_number": "734-293-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 FARMINGTON ROAD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481504207",
            "telephone_number": "734-513-8205",
            "fax_number": "734-513-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN ORTHOPEDIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "734-513-8205"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3220750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.