NPIMap

Individual provider Active NPI

Timothy Ephriam Ekpo, DO

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Grand Blanc, MI
National Provider Identifier
1891003240
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
5101017150 Issued in MI
Practice address
12303 Pinehurst LN
Grand Blanc, MI 48439-2634
Phone
(814) 323-3942
NPI assigned
Sep 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 5101017150 MI Primary

Addresses

Primary practice location

12303 Pinehurst LN
Grand Blanc, MI 48439-2634

Mailing address

12303 Pinehurst LN
Grand Blanc, MI 48439-2634
Phone (814) 323-3942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130205000447 MI Practitioner - Orthopedic Surgery 9436305984 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northsport Physical Therapy and Rehabilitation P CGroup PAC ID 5294902508, shared by 2 NPIs, 43 clinicians
Eaton Rapids Medical CenterGroup PAC ID 5991692634, shared by 4 NPIs, 34 clinicians

Practice addresses (Care Compare)

1622 Dickerson Rd
Gaylord, MI 49735-9206

956 Cooper St
Jackson, MI 49202-3398
Phone (517) 998-6574

Hospital & facility affiliations

  • Eaton Rapids Medical Center Hospital, Eaton Rapids, MI, CCN 231324
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement24
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017150MIMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Eaton Rapids Medical Center CurrentSince Mar 3, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince May 1, 2013 Accepting new patients
W.a. Foote Memorial Hospital, Inc Adult Reconstructive Orthopaedic Surgery CurrentSince May 1, 2013 Accepting new patients
Eaton Rapids Medical Center Current Accepting new patients
Eaton Rapids Medical Center Current Accepting new patients
Newaygo County General Hospital Association Past Accepting new patients
Newaygo County General Hospital Association Past Accepting new patients
Ekpo Surgical Enterprises LLC PastSince Sep 1, 2024 Accepting new patients

Locations

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

1201 E Michigan Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-1431

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

956 Cooper St
Jackson, MI 49202
Phone (517) 787-3900

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

1201 E Michigan Ave
Jackson, MI 49201
Phone (517) 205-1431

Interoperability endpoints

  • Direct secure messaging: tekpo285346@direct.parkviewexchange.com
  • Direct secure messaging: tekpo455203@direct.hfhs.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1891003240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 PINEHURST LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392634",
            "telephone_number": "814-323-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 PINEHURST LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392634",
            "telephone_number": "814-323-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKPO",
        "first_name": "TIMOTHY",
        "middle_name": "EPHRIAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MI",
            "license": "5101017150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.