Detroit Orthopedics & Sports Medicine PLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

DETROIT ORTHOPEDICS & SPORTS MEDICINE PLC

Practice address

27207 Lahser Rd Ste 250
Southfield, MI 48034-2168

Phone

(248) 595-8518

NPI assigned

Aug 30, 2022

Organization subpart

No

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

Authorized official

Name

Jonathan NzomaNPI 1417257551

Title

Ceo

Phone

(313) 319-6858

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Kyulu Nzoma, DO

  • Orthopaedic Surgery Physician
  • Southfield, MI
  • NPI 1417257551
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1679293757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483760145",
            "telephone_number": "313-319-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27207 LAHSER RD STE 250",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342168",
            "telephone_number": "248-595-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT ORTHOPEDICS & SPORTS MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "NZOMA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-319-6858"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Detroit Harmony Health LLC
• Detroit Institute of Physical Medicine & Rehabilitation, PC
• Detroit Integrated Care
• Detroit Medical Care PC
• Detroit Medical Equipment Inc
• Detroit Vamc
• Detroit Wayne County Health Authority
• Naya Deutsch
• Shivakumar Deva, MD
• Jaronique Danielle Devezin, EDD

• Orthopaedic Surgery Physician in Southfield, MI
• Providers in Southfield, 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 Mar 8, 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.

Verify at the official NPI Registry.