Pollex Orthopaedics PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

DP042780 Issued in MI

Legal business name

POLLEX ORTHOPAEDICS PC

Practice address

1080 S Van Dyke Rd
Ste a
Bad Axe, MI 48413-9635

Phone

(989) 269-9551

Fax

(989) 269-7051

NPI assigned

Jun 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Douglas G Pankratz, MD

Title

President Owner

Phone

(989) 269-9551

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Douglas G Pankratz MD Doing business as

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1891955159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 S VAN DYKE RD",
            "address_2": "STE A",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139635",
            "telephone_number": "989-269-9551",
            "fax_number": "989-269-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 S VAN DYKE RD",
            "address_2": "STE A",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139635",
            "telephone_number": "989-269-9551",
            "fax_number": "989-269-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLLEX ORTHOPAEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "PANKRATZ",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "989-269-9551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "DP042780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI STATE LIC NUMBER",
            "identifier": "DP042780",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1368714",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas G Pankratz MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Emily Periso
• Brenda Peruski, RN
• Megan Peter
• Kimberly Pettinger
• Joni Pilaske
• Kimberly A Potestivo, PA-C
• Daniel Pratt
• Jarrett Pratt
• Clyde Priddy
• Professional Counseling Service, PLLC

• Orthopaedic Surgery Physician in Bad Axe, MI
• Providers in Bad Axe, 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 Jul 21, 2008; 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.