Active NPI
Jeffrey H. Declaire M.D., P.C.
Doing business as DeClaire LaMacchia Orthopaedic Institute
- Orthopaedic Surgery Physician
- Rochester, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Ernest Lamacchia, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0F34848 | Other | MI | BLUE CROSS BLUE SHIELD |
| 0H70719 | Other | MI | BLUE CROSS BLUE SHIELD (PHYSICAL THERAPY) |
| 1942387998 | Medicaid | MI |
Other names 1
- DeClaire LaMacchia Orthopaedic Institute
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Orthopaedic Surgery of the Spine Physician
- Rochester, MI
- NPI 1669465761
-
- Orthopaedic Surgery Physician
- Waterford, MI
- NPI 1184656241
-
- Orthopaedic Surgery Physician
- Waterford, MI
- NPI 1760532808
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"
}
]
}
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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.