Community Orthopedic Surgery PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COMMUNITY ORTHOPEDIC SURGERY PC

Practice address

420 W Russell St
Suite 109
Saline, MI 48176-1160

Phone

(734) 429-1540

Fax

(734) 429-1543

NPI assigned

Oct 22, 2007

Last updated

Dec 21, 2009By 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

Mrs. Sandra D Bolton

Title

Billing Manager

Phone

(734) 712-0635

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1639368095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W RUSSELL ST",
            "address_2": "SUITE 109",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761160",
            "telephone_number": "734-429-1540",
            "fax_number": "734-429-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W RUSSELL ST",
            "address_2": "SUITE 109",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761160",
            "telephone_number": "734-429-1540",
            "fax_number": "734-429-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ORTHOPEDIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "734-712-0635",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Saline, MI
• Providers in Saline, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.