Southwest Michigan Center for Orthopaedics and Sports Medicine

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDICS AND SPORTS MEDICINE

Practice address

6720 Red Arrow Hwy
Coloma, MI 49038-9703

Phone

(269) 468-6760

NPI assigned

Oct 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth J Edwards, M.D.

Title

Managing Partner

Phone

(269) 428-3500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Josiah James Thompson, DPT

  • Physical Therapist
  • Saint Joseph, MI
  • NPI 1538038419
  NPD
• Brian Keith Leannais, MPT

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1710173778
  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609963503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 RED ARROW HWY",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490389703",
            "telephone_number": "269-468-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 RED ARROW HWY",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490389703",
            "telephone_number": "269-468-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "269-428-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Lee Center for Healing and Growth
• Shafee Ahamad Shaik
• Melinda Amber Shannon, PT. DPT, MS
• Jeremy B Shelley, PT
• Faith Shreve, LMSW
• Southwest Michigan Home Care Services, Inc
• Ashley R Stacker, LMSW
• Startup Center for Inner Peace, PLLC
• Gerald Carl Thiele
• Shyann Lee Traylor

• Legal Medicine in Coloma, MI
• Providers in Coloma, MI by specialty
• Legal Medicine in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.