Organization Active NPI

Jeffrey H. Declaire M.D., P.C.

Doing business as DeClaire LaMacchia Orthopaedic Institute

  • Orthopaedic Surgery Physician
  • Rochester, MI
National Provider Identifier
1942387998
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
JEFFREY H. DECLAIRE M.D., P.C.
Doing business as
DeClaire LaMacchia Orthopaedic Institute
Practice address
1135 W University Dr Ste 450
Rochester, MI 48307-1871
Phone
(248) 650-2400
Fax
(248) 650-4596
NPI assigned
Nov 1, 2006
Last updated
Mar 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
John Ernest Lamacchia, MDNPI 1669465761
Title
Vice President
Phone
(248) 650-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
Orthopaedic Surgery of the Spine Physician 207XS0117X
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
Orthopedic Physical Therapist 2251X0800X

Addresses

Primary practice location

1135 W University Dr Ste 450
Rochester, MI 48307-1871

Mailing address

PO Box 9042
Belfast, ME 04915-9042
Phone (248) 650-2400

Other identifiers 3

IdentifierTypeStateIssuer
0F34848OtherMIBLUE CROSS BLUE SHIELD
0H70719OtherMIBLUE CROSS BLUE SHIELD (PHYSICAL THERAPY)
1942387998MedicaidMI

Other names 1

  • DeClaire LaMacchia Orthopaedic Institute Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1942387998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9042",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159042",
            "telephone_number": "248-650-2400",
            "fax_number": "248-650-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 450",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071871",
            "telephone_number": "248-650-2400",
            "fax_number": "248-650-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY H. DECLAIRE M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "LAMACCHIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-650-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0F34848",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD (PHYSICAL THERAPY)",
            "identifier": "0H70719",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942387998",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeClaire LaMacchia Orthopaedic Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.