Organization Active NPI

Premier Orthopedics and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Harper Woods, MI
National Provider Identifier
1497768246
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301075617 Issued in MI
Legal business name
PREMIER ORTHOPEDICS AND SPORTS MEDICINE PC
Practice address
20860 Harper Ave
Harper Woods, MI 48225-1142
Phone
(313) 886-3544
Fax
(313) 885-3614
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Dr. Jeffrey Zacharias, MD
Title
President
Phone
(313) 886-3544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 4301075617 MI Primary

Addresses

Primary practice location

20860 Harper Ave
Harper Woods, MI 48225-1142

Mailing address

20860 Harper Ave
Harper Woods, MI 48225-1142
Phone (313) 886-3544

National Provider Directory

National Provider Directory

Locations

20860 Harper Ave
Harper Woods, MI 48225
Phone (313) 885-1450

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1497768246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20860 HARPER AVE",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251142",
            "telephone_number": "313-886-3544",
            "fax_number": "313-885-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20860 HARPER AVE",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251142",
            "telephone_number": "313-886-3544",
            "fax_number": "313-885-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPEDICS AND SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "ZACHARIAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-886-3544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301075617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harper Woods, MI

Sources for this page

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

Verify at the official NPI Registry.