Jeremy James Policht

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4351052366 Issued in MI

Practice address

3535 W 13 Mile Rd Ste 742
Royal Oak, MI 48073-6770

Phone

(248) 551-9100

NPI assigned

Mar 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1801596390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 TIVERTON DRIVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD STE 742",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLICHT",
        "first_name": "JEREMY",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4351052366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN - DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
            "identifier": "4351052366",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Pochron, MD
• Mark Podgaisky, MD
• Robert Pohl, M.D.
• Rajesh Pokharel
• Evelyn Carolina Polanco
• Gregg Polidori, MD
• Caterina Maria Polina, PA
• Jacob Andrew Poliskey, MD PHD
• Edward William Pollak, MD
• Tudor Ponoran

• Orthopaedic Surgery Physician in Royal Oak, MI
• Providers in Royal Oak, 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 Jun 13, 2024; 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.