Active NPI
Sports Medicine & Joint Care of West Michigan, PLC
- Orthopaedic Surgery Physician
- Portage, MI
National Provider Identifier
1942247176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301061042
- Legal business name
- SPORTS MEDICINE & JOINT CARE OF WEST MICHIGAN, PLC
- Practice address
- 7901 S 12TH St
Suite 101
Portage, MI 49024-3831 - Phone
- (269) 978-0444
- Fax
- (269) 978-0447
- NPI assigned
- May 31, 2006
- Organization subpart
- Yes
- Parent organization
- SPORTS MEDICINE & JOINT CARE OF WEST MICHIGAN
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert S Schaefer, MD
- Title
- Physician
- Phone
- (269) 978-0444
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | 4301061042 | MI | Primary |
Addresses
Primary practice location
7901 S 12TH St
Suite 101
Portage, MI 49024-3831
Mailing address
7901 S 12TH St
Suite 101
Portage, MI 49024-3831
Phone (269) 978-0444
Other names 1
- Orthopaedic Associates of Kalamazoo
National Provider Directory
National Provider Directory- Part of
- Sports Medicine Joint Care
Locations
7901 S 12th St
Portage, MI 49024
Phone (269) 978-0444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435190400000",
"number": "1942247176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 S 12TH ST",
"address_2": "SUITE 101",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490243831",
"telephone_number": "269-978-0444",
"fax_number": "269-978-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 S 12TH ST",
"address_2": "SUITE 101",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490243831",
"telephone_number": "269-978-0444",
"fax_number": "269-978-0447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPORTS MEDICINE & JOINT CARE OF WEST MICHIGAN, PLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPORTS MEDICINE & JOINT CARE OF WEST MICHIGAN",
"enumeration_date": "2006-05-31",
"last_updated": "2015-06-25",
"status": "A",
"authorized_official_last_name": "SCHAEFER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "269-978-0444",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301061042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orthopaedic Associates of Kalamazoo",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.