PG Orthopaedics, PLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PG ORTHOPAEDICS, PLC

Practice address

6071 W Outer Dr
Detroit, MI 48235-2624

Phone

(843) 536-2044

NPI assigned

Nov 6, 2024

Organization subpart

No

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

Authorized official

Name

Petra Gheraibeh, MDNPI 1518014331

Title

Authorized Official

Phone

(843) 536-2044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Petra Gheraibeh, MD

  • Orthopaedic Surgery Physician
  • Detroit, MI
  • NPI 1518014331
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1497578579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19541 RENFREW RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211884",
            "telephone_number": "843-536-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "843-536-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PG ORTHOPAEDICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "GHERAIBEH",
        "authorized_official_first_name": "PETRA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "843-536-2044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Pfeiffer, M.D.
• Laura A Pfeiffer, NP
• Jacqueline Marie Pflaum-Carlson, M.D.
• Derek Pflum, D.D.S.
• Megan E Pfromm, CRNA
• Judy Ha Pham, MD
• Kim Pham, DO
• Alicia Phan
• Kimberly Phan, PHARMD
• Pharmachoice Inc

• Orthopaedic Surgery Physician in Detroit, MI
• Providers in Detroit, 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 Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.