Orthopaedic Associates of Grand Rapids PC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP01303 Issued in MI

Legal business name

ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC

Practice address

230 Michigan St NE
Grand Rapids, MI 49503-2550

Phone

(616) 459-7101

Fax

(616) 954-6483

NPI assigned

May 14, 2009

Organization subpart

No

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

Authorized official

Name

Patrick Reid

Title

Ceo

Phone

(616) 459-7101

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1972737286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30516",
            "address_2": "DEPT 6063",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489098016",
            "telephone_number": "616-459-7101",
            "fax_number": "616-954-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032550",
            "telephone_number": "616-459-7101",
            "fax_number": "616-954-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-459-7101"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "CP01303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD NSC",
            "identifier": "0442790002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lourdes Ortega, NP
• Amy Ortego, OTR/L
• Bryce Ortego
• Orthopaedic Associates of Grand Rapids PC
• Orthopaedic Associates of Grand Rapids PC
• Orthopaedic Associates of Grand Rapids, PC
• Orthopaedic Associates of Grand Rapids, PC
• Orthopaedic Associates of Grand Rapids, PC
• Christian M Ortiz Orta, BEHAVIOR TECHNICIAN
• Brianna Ortiz

• Prosthetic/Orthotic Supplier in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.