COMMUNITY ORTHOPEDIC SURGERY PC (NPI# 1013165711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013165711 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ORTHOPEDIC SURGERY PC |
| Practice Address |
7575 Grand River Rd Suite 112 Brighton MI 48114-9309 |
| Mailing Address |
5315 Elliott Dr Suite 202 Ypsilanti MI 48197-8634 |
| Practice Telephone | 8108447557 |
| Practice Fax Number | 8108447561 |
| Mailing Telephone | 7347120600 |
| Mailing Fax Number | 7347120522 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-08 |
| Authorized Official Name | MRS. SANDRA D BOLTON (BILLING MANAGER) |
| Authorized Official Telephone | 7347120600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 174400000X | Specialist | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM DME | 540D711950 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093998585 | Community Orthopedic Surgery PC | Prosthetic/Orthotic Supplier | 5315 Elliott Dr Ste 202, Ypsilanti, MI 48197-8634 | 2007-12-07 |
| 1518148741 | Community Orthopedic Surgery PC | Prosthetic/Orthotic Supplier | 5315 Elliott Dr, Suite 202, Ypsilanti, MI 48197-8634 | 2007-11-15 |
| 1700075165 | Community Orthopedic Surgery PC | Prosthetic/Orthotic Supplier | 7575 Grand River Rd, Suite 112, Brighton, MI 48114-9309 | 2007-10-22 |
| 1639368095 | Community Orthopedic Surgery PC | Prosthetic/Orthotic Supplier | 420 W Russell St, Suite 109, Saline, MI 48176-1160 | 2007-10-22 |
| 1104867910 | Community Orthopedic Surgery PC | Specialist | 5315 Elliott Dr, Suite 202, Ypsilanti, MI 48197-8634 | 2006-06-10 |
| Street Address |
7575 GRAND RIVER RD SUITE 112 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114-9309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648087 | Robert Thomas Clark | Optometrist | 7575 Grand River Rd, Ste 111, Brighton, MI 48114-9390 | 2005-06-09 |
| 1710504147 | Simin Emadzadeh | Student in an Organized Health Care Education/Training Program | 7575 Grand River Rd, Brighton, MI 48114-9309 | 2020-07-01 |
| 1669944088 | Andrew Bryan Smith | Nurse Anesthetist, Certified Registered | 7575 Grand River Rd, Brighton, MI 48114-9309 | 2018-12-24 |
| 1174038111 | Saint Joseph Mercy Livingston Hospital | Clinic/Center | 7575 Grand River Rd, Brighton, MI 48114-9309 | 2017-12-13 |
| 1902324809 | Katharine Cline | Physical Therapist | 7575 Grand River Rd, Brighton, MI 48114-9309 | 2017-08-31 |
| 1467984047 | Richard Hanley | Student in an Organized Health Care Education/Training Program | 7575 Grand River Rd, Suite 209, Brighton, MI 48114-9309 | 2017-04-01 |
| 1033571302 | Benjamin Gilbert | Family Medicine | 7575 Grand River Rd, Suite 209, Brighton, MI 48114-9309 | 2016-03-24 |
| 1669834453 | Syeda Salvia Asad | Student in an Organized Health Care Education/Training Program | 7575 Grand River Rd, Suite 209, Brighton, MI 48114-9309 | 2016-03-22 |
| 1790121309 | Iha Health Services Corporation | Obstetrics & Gynecology | 7575 Grand River Rd, Ste 210, Brighton, MI 48114-9309 | 2013-05-22 |
| 1629413208 | Payal Shah | Student in an Organized Health Care Education/Training Program | 7575 Grand River Rd, Suite 210, Brighton, MI 48114-9309 | 2013-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| Find all providers in zip 48114 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477036812 | Andrea Odonnell | Specialist | 9795 Village Place Blvd, Sola Studio 15, Brighton, MI 48116-2087 | 2018-09-12 |
| 1104229723 | Kara Elisabeth Sullivan | Specialist | 40 Montcalm Ave Unit 1, Brighton, MA 02135 | 2014-09-28 |
| 1578994463 | Gago Ivf | Specialist | 2250 Genoa Business Park Dr Ste 110, Brighton, MI 48114-7372 | 2013-12-03 |
| 1386085322 | Trisha Conklin | Specialist | 102 Pelican Ave, Brighton, CO 80601-5314 | 2013-07-06 |
| 1992144315 | Christine Rans | Specialist | 4160 Summer Hl, Brighton, MI 48116-9777 | 2013-06-19 |
| 1891054375 | Affinity | Specialist | 1041 Lincoln Dr, Brighton, MI 48116-3793 | 2012-05-03 |
| 1750573010 | Platte Valley Internal Medicine & Pulmonary LLC | Specialist | 1606 Prairie Center Pkwy Ste 310, Brighton, CO 80601-4004 | 2007-08-10 |
| 1164594081 | West Clinic PC | Specialist | 240 Grandview Drive, Brighton, TN 38011-4253 | 2006-11-15 |
| 1326142704 | Carney Medical Group | Specialist | 77 Warren Street-provider Enrollment, Brighton, MA 02135 | 2006-09-07 |
| 1467566885 | Brighton Medical Practice | Specialist | 39 W Woodlawn Ave, Brighton, TN 38011-4139 | 2006-08-19 |
| Find all providers in BRIGHTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.