NPIMap

Organization Active NPI

Orthopaedic Surgery Associates of Marquette PC

Doing business as Advanced Center for Orthopedics

  • Orthopaedic Surgery Physician
  • Marquette, MI
National Provider Identifier
1730199845
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301050335 Issued in MI
Legal business name
ORTHOPAEDIC SURGERY ASSOCIATES OF MARQUETTE PC
Doing business as
Advanced Center for Orthopedics
Practice address
1414 W Fair Ave
Suite 190
Marquette, MI 49855-2675
Phone
(906) 225-1321
Fax
(906) 228-9371
NPI assigned
Aug 9, 2006
Last updated
Jan 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Dr. Matthew Newberg Songer, MDNPI 1871504357
Title
President
Phone
(906) 225-1321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4301050335 MI
Prosthetic/Orthotic Supplier 335E00000X 4301050335 MI
Orthopaedic Surgery Physician 207X00000X 4301050335 MI Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X NU
Plastic and Reconstructive Surgery Physician 2086S0122X NU
Primary Podiatric Medicine Podiatrist 213EP1101X NU

Addresses

Primary practice location

1414 W Fair Ave
Suite 190
Marquette, MI 49855-2675

Mailing address

1414 W Fair Ave
Suite 190
Marquette, MI 49855-2675
Phone (906) 225-1321

Other identifiers 1

IdentifierTypeStateIssuer
0E26013OtherMIBLUE CROSS BLUE SHIELD MI

Other names 1

  • Advanced Center for Orthopedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051101000455 MI Part B Supplier - Clinic/Group Practice 5799702437 Receives reassigned benefits from 32 practitioners
Practice locations: Munising, MI; Marquette, MI; Lanse, MI; Ishpeming, MI; Escanaba, MI
O20100930049196 MI DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Orthotic Personnel 5799702437 Practice locations: Marquette, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1730199845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "SUITE 190",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-1321",
            "fax_number": "906-228-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "SUITE 190",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-1321",
            "fax_number": "906-228-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGERY ASSOCIATES OF MARQUETTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "SONGER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "NEWBERG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-225-1321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "4301050335",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "4301050335",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301050335",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "0E26013",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Center for Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.