NPIMap

Organization Active NPI

Michigan Orthopedic & Spinal Surgery PLLC

  • Orthopaedic Surgery Physician
  • Washington TWP, MI
National Provider Identifier
1972776813
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101013195 Issued in MI
Legal business name
MICHIGAN ORTHOPEDIC & SPINAL SURGERY PLLC
Practice address
12150 30 Mile Rd
Suite 105
Washington TWP, MI 48095
Phone
(586) 336-7333
Fax
(586) 336-7332
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Dr. Kenneth A Scott, DO
Title
President
Phone
(586) 336-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 5101013195 MI Primary

Addresses

Primary practice location

12150 30 Mile Rd
Suite 105
Washington TWP, MI 48095

Mailing address

12150 30 Mile Rd
Suite 105
Washington TWP, MI 48095
Phone (586) 336-7333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1972776813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 30 MILE RD",
            "address_2": "SUITE 105",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "48095",
            "telephone_number": "586-336-7333",
            "fax_number": "586-336-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 30 MILE RD",
            "address_2": "SUITE 105",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "48095",
            "telephone_number": "586-336-7333",
            "fax_number": "586-336-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN ORTHOPEDIC & SPINAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-336-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101013195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.