Organization Active NPI

Sjmhs Livingston Orthopedic Surgical Group

  • Orthopaedic Surgery Physician
  • Brighton, MI
National Provider Identifier
1689986218
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP
Practice address
7575 Grand River Rd
Suite 202
Brighton, MI 48114-9309
Phone
(810) 844-7785
Fax
(810) 844-7567
NPI assigned
Jul 12, 2010
Organization subpart
Yes
Parent organization
SAINT JOSEPH MERCY LIVINGSTON HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Mr. Paul Kulas
Title
Director
Phone
(734) 475-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

7575 Grand River Rd
Suite 202
Brighton, MI 48114-9309

Mailing address

7575 Grand River Rd
Suite 202
Brighton, MI 48114-9309
Phone (810) 844-7785

National Provider Directory

National Provider Directory
Part of
Saint Joseph Mercy Hospital

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1689986218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 GRAND RIVER RD",
            "address_2": "SUITE 202",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149309",
            "telephone_number": "810-844-7785",
            "fax_number": "810-844-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 GRAND RIVER RD",
            "address_2": "SUITE 202",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149309",
            "telephone_number": "810-844-7785",
            "fax_number": "810-844-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOSEPH MERCY LIVINGSTON HOSPITAL",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "KULAS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-475-4040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.