Dearborn Orthopedics & Sports Medicine P.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

DEARBORN ORTHOPEDICS & SPORTS MEDICINE P.C.

Practice address

23550 Park
Suite #100
Dearborn, MI 48124

Phone

(313) 730-0500

Fax

(313) 730-0606

NPI assigned

Nov 9, 2006

Last updated

Sep 29, 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

Douglas G Plagens, M.D.NPI 1336249689

Title

M.D.

Phone

(313) 730-0500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 5

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.

• Douglas G Plagens, M.D.

  • Orthopaedic Surgery Physician
  • Dearborn, MI
  • NPI 1336249689
  Medicare reassignment Care Compare group NPD Authorized official
• Gregory W Housner, M.D.

  • Orthopaedic Surgery Physician
  • Dearborn, MI
  • NPI 1346340684
  Medicare reassignment Care Compare group NPD
• Christopher J McMellen, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Dearborn, MI
  • NPI 1336702216
  Medicare reassignment Care Compare group NPD
• Matthew P Steffes, M.D.

  • Orthopaedic Surgery Physician
  • Dearborn, MI
  • NPI 1275633596
  Medicare reassignment Care Compare group NPD
• Jeffrey Thomas Waldrop, M.D.

  • Orthopaedic Surgery Physician
  • Dearborn, MI
  • NPI 1396845616
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1669542247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23550 PARK",
            "address_2": "SUITE #100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-730-0500",
            "fax_number": "313-730-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23550 PARK",
            "address_2": "SUITE #100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-730-0500",
            "fax_number": "313-730-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN ORTHOPEDICS & SPORTS MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "PLAGENS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "313-730-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dearborn Medical Supply
• Dearborn Medical Walkin Clinic
• Dearborn Nuro Clinic PC
• Dearborn Obstetrical and Gynecological Associates, P.C.
• Dearborn Oral & Maxillofacial Surgery Associates, P.C.
• Dearborn Pain Specialists, PLC
• Dearborn Ped & Adol Med Center II PLLC
• Dearborn Pediatric & Adolescent Medical Center, PC
• Dearborn Physical Therapy LTD.
• Dearborn Podiatric Surgeons, P.C.

• Orthopaedic Surgery Physician in Dearborn, MI
• Providers in Dearborn, 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 Sep 29, 2020; 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.

Verify at the official NPI Registry.