Active NPI
Computerized Joint Surgeryllc
- Orthopaedic Surgery Physician
- Warren, MI
National Provider Identifier
1841685195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301104354
- Legal business name
- COMPUTERIZED JOINT SURGERYLLC
- Doing business as
- Computerized Joint Surgery LLC
- Practice address
- 27789 Mound Rd Ste 100
Warren, MI 48092-2697 - Phone
- (313) 209-3353
- Fax
- (313) 406-7255
- NPI assigned
- Apr 3, 2015
- Last updated
- Jul 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam Hakki Hackette, MD
- Title
- Owner
- Phone
- (727) 422-4680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301104354 | MI | Primary |
Addresses
Primary practice location
27789 Mound Rd Ste 100
Warren, MI 48092-2697
Mailing address
PO Box 880
Sterling Heights, MI 48311-0880
Phone (727) 422-4680
Other names 1
- Computerized Joint Surgery LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Computerized Joint Surgery LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Warren, MI
- NPI 1639451388
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Warren, MI
- NPI 1043253602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688428800000",
"number": "1841685195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 880",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483110880",
"telephone_number": "727-422-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27789 MOUND RD STE 100",
"city": "WARREN",
"state": "MI",
"postal_code": "480922697",
"telephone_number": "313-209-3353",
"fax_number": "313-406-7255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPUTERIZED JOINT SURGERYLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-03",
"last_updated": "2023-07-04",
"certification_date": "2023-07-04",
"status": "A",
"authorized_official_last_name": "HACKETTE",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "HAKKI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-422-4680",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301104354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Computerized Joint Surgery LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.