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Michigan Orthopaedic Surgeons PLLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Novi, MI

NPI 1891473450 · NPPES record last updated Jan 30, 2024

Key facts

NPI
1891473450
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
MICHIGAN ORTHOPAEDIC SURGEONS PLLC
Practice address
26750 Providence Pkwy Ste 220
Novi, MI 48374-1212
Phone
(248) 596-0412
Fax
(248) 596-0418
NPI assigned
Jul 5, 2023
Organization subpart
No

Authorized official

Name
Kerry Lynne Sigurdson-Hoffmann
Title
Credentialing Specialist
Phone
(248) 845-4381

Other NPIs with the same Medicare PAC ID 8

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

Subparts reporting this organization as parent 10

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 127

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 127

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250214002528 MI DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7810277811 Practice locations: Novi, MI

National Provider Directory

Tax ID family
Michigan Orthopaedic PLLC (8 organizations share this tax ID)

Locations

26211 Central Park Blvd
Ste 201
Southfield, MI 48076
Phone (248) 845-4381

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

26750 Providence Pkwy Ste 220
Novi, MI 48374-1212

Mailing address

26211 Central Park Blvd Ste 201
Southfield, MI 48076-4158
Phone (248) 845-4381

Other providers in Novi, MI

All providers in Novi, MI · Durable Medical Equipment & Medical Supplies in Michigan

Sources for this page

Verify at the official NPI Registry.