Active NPI
Ekpo Surgical Enterprises LLC
- Durable Medical Equipment & Medical Supplies
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EKPO SURGICAL ENTERPRISES LLC
- Practice address
- 956 Cooper St
Jackson, MI 49202-3398 - Phone
- (517) 998-6574
- NPI assigned
- Aug 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Ekpo, DO
- Title
- Owner
- Phone
- (814) 323-3942
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
956 Cooper St
Jackson, MI 49202-3398
Mailing address
815 Oakdale Rd
Ann Arbor, MI 48105-1076
Phone (517) 998-6574
Other practice location 1
337 S Main St
Ann Arbor, MI 48104-2107
Phone (855) 483-7476
Other names 1
- Michigan Joint Replacement Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250107000011 | MI | DME Supplier - Physician - General Practice | 5799213633 | Practice locations: Jackson, MI |
National Provider Directory
National Provider DirectoryLocations
337 S Main St
Ann Arbor, MI 48104
Phone (855) 483-7476
956 Cooper St
Jackson, MI 49202
Phone (517) 787-3900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Grand Blanc, MI
- NPI 1891003240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1508699109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 OAKDALE RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051076",
"telephone_number": "517-998-6574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "956 COOPER ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023398",
"telephone_number": "517-998-6574"
}
],
"practiceLocations": [
{
"address_1": "337 S Main St",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481042107",
"country_code": "US",
"telephone_number": "855-483-7476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EKPO SURGICAL ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "EKPO",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-323-3942",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Michigan Joint Replacement Institute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Michigan Joint Replacement Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.