Southeastern Orthopedics PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SOUTHEASTERN ORTHOPEDICS PC

Practice address

770 Riverside Ave
Ste 105
Adrian, MI 49221-1476

Phone

(517) 265-5230

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Bryan P Somers

Title

Supervisor

Phone

(517) 265-0229

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1467630616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 RIVERSIDE AVE",
            "address_2": "STE 105",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211476",
            "telephone_number": "517-265-5230",
            "fax_number": "517-265-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 RIVERSIDE AVE",
            "address_2": "STE 105",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211476",
            "telephone_number": "517-265-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN ORTHOPEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SOMERS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "517-265-0229"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4180319",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2004611141",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Solomonson, M.A.
• Asta Renata Soltis
• Melissa Renee Sommers, LLC
• Sylvia Anna Sotelo, LPC NCC
• Sound Physicians Emergency Medicine of Michigan, PLLC
• Sharon Kay Spanbauer, FNP-BC
• Sparrow Counseling, LLC
• Spectrum Chiropractic and Health
• Andrea K Spielvogel, PT, DPT
• Karen Stafford-May, M.A., LPC

• Orthopaedic Surgery Physician in Adrian, MI
• Providers in Adrian, 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 Jun 27, 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.