Allen D Damschroder, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Practice address

4048 Cedar Bluff Dr
Suite 1
Petoskey, MI 49770-8895

Phone

(231) 347-5155

Fax

(231) 347-6128

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619987468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497700430",
            "telephone_number": "231-347-5155",
            "fax_number": "231-347-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 CEDAR BLUFF DR",
            "address_2": "SUITE 1",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708895",
            "telephone_number": "231-347-5155",
            "fax_number": "231-347-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMSCHRODER",
        "first_name": "ALLEN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7777777",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D-Mak, Inc
• Jacob Wayne Daily
• Jarod Nathan Dainoviec, PHARMD
• Melissa Dainoviec
• Shelly Marie Dale
• Daniel E McDonnell M D P C
• Daniel K Wilcox MD PC
• Daniel K Wilcox MD PC
• Daniel Verburg MD PLC
• Maria Teresa Daunter, PH.D

• Orthopaedic Surgery Physician in Petoskey, MI
• Providers in Petoskey, 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 Jul 9, 2007; 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.