Organization Active NPI

Mid-Michigan Specialty Clinics PLLC

  • Prosthetic/Orthotic Supplier
  • Grand Blanc, MI
National Provider Identifier
1871306167
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MID-MICHIGAN SPECIALTY CLINICS PLLC
Practice address
8203 S Saginaw St Ste E
Grand Blanc, MI 48439-2434
Phone
(810) 498-4770
NPI assigned
Jan 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Darrick Conley
Title
Ceo
Phone
(810) 498-4770

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

8203 S Saginaw St Ste E
Grand Blanc, MI 48439-2434

Mailing address

8203 S Saginaw St Ste E
Grand Blanc, MI 48439-2434
Phone (810) 498-4770

Other names 1

  • Pediatric Orthotics and Prosthetics of Grand Blanc Doing business as

National Provider Directory

National Provider Directory

Locations

8203 S Saginaw St
Ste E
Grand Blanc, MI 48439
Phone (810) 498-4770

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1871306167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 S SAGINAW ST STE E",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392434",
            "telephone_number": "810-498-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 S SAGINAW ST STE E",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392434",
            "telephone_number": "810-498-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MICHIGAN SPECIALTY CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "DARRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-498-4770"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Orthotics and Prosthetics of Grand Blanc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Orthotics and Prosthetics of Grand Blanc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.