NPIMap

Organization Active NPI

Associated Orthopedists of Detroit PC

  • Urgent Care Clinic/Center
  • Saint Clair Shores, MI
National Provider Identifier
1508410168
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ASSOCIATED ORTHOPEDISTS OF DETROIT PC
Practice address
24715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-3207
Phone
(586) 779-7970
Fax
(586) 779-7748
NPI assigned
Jul 31, 2019
Organization subpart
Yes
Parent organization
ASSOCIATED ORTHOPEDISTS OF DETROIT, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Jamie Johnson
Title
Credentialing Coordinator
Phone
(586) 710-2307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

24715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-3207

Mailing address

24715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-3207
Phone (586) 779-7970

National Provider Directory

National Provider Directory
Tax ID family
Associated Orthopedists4 organizations share this tax ID, including this one
Part of
Associated Orthopedists

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1508410168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24715 LITTLE MACK AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803207",
            "telephone_number": "586-779-7970",
            "fax_number": "586-779-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24715 LITTLE MACK AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803207",
            "telephone_number": "586-779-7970",
            "fax_number": "586-779-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED ORTHOPEDISTS OF DETROIT PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATED ORTHOPEDISTS OF DETROIT, PC",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "586-710-2307"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.