DR. LAITH ANASTAS FARJO (NPI# 1043279235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043279235 |
| Entity Type | Individual |
| Full Name | DR. LAITH ANASTAS FARJO |
| Credential | M.D. |
| Practice Address |
2305 Genoa Business Park Dr Suite 170 Brighton MI 48114-7367 |
| Mailing Address |
2305 Genoa Business Park Dr. Suite 170 Brighton MI 48114-7367 |
| Practice Telephone | 8102998550 |
| Practice Fax Number | 8108440837 |
| Mailing Telephone | 8102998550 |
| Mailing Fax Number | 8108440837 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2014-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | LF073669 | MI | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
LF073669 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4379981 | 05 |
| Street Address |
2305 GENOA BUSINESS PARK DR SUITE 170 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114-7367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273947 | Ayad A. Farjo | Ophthalmology | 2305 Genoa Business Park Dr, Suite 250, Brighton, MI 48114-7004 | 2005-05-31 |
| 1548702087 | Darlene Demeniuk | Occupational Therapist | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2016-11-15 |
| 1780032524 | Alyssa Zantello | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2016-06-02 |
| 1467873828 | Iha Health Services Corporation | Obstetrics & Gynecology | 2305 Genoa Business Park Dr, Suite 230, Brighton, MI 48114-7004 | 2014-01-02 |
| 1487091377 | Julie Tenckinck Sauer | Occupational Therapist | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2013-05-31 |
| 1710225412 | Kristen Elizabeth Upton | Nurse Practitioner | 2305 Genoa Business Park Dr, Suite 240, Brighton, MI 48114-7004 | 2013-01-30 |
| 1659624591 | Dermatology & Phototherapy Center of Brighton, Plc | Dermatology | 2305 Genoa Business Park Dr, Brighton, MI 48114-7004 | 2012-10-16 |
| 1558611046 | Juliana Hagele | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2012-09-12 |
| 1558624858 | Tracy M Olsen | Nurse Practitioner | 2305 Genoa Business Park Dr, Ste 200, Brighton, MI 48114-7004 | 2012-06-21 |
| 1053625467 | Advanced Orthopedic Specialists PC | Non-Pharmacy Dispensing Site | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2010-07-28 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854470 | Platte Valley Medical Group, LLC | Orthopaedic Surgery | 1610 Prairie Center Pkwy Ste 2200, Brighton, CO 80601-4008 | 2020-06-03 |
| 1003430281 | Platte Valley Medical Group, LLC | Orthopaedic Surgery | 1610 Prairie Center Pkwy Ste 2300, Brighton, CO 80601-4003 | 2020-06-03 |
| 1730204983 | Boston Orthopaedic and Sport Medicine, Inc. | Orthopaedic Surgery | 736 Cambridge St Fl 9, St. Elizabeth's Hospital Bone and Joint Clinic, Brighton, MA 02135-2907 | 2007-03-20 |
| 1548347032 | Sheehan & Zahner Orthopedic Associates PC | Orthopaedic Surgery | 736 Cambridge St - Ccp9, Brighton, MA 02135-3514 | 2006-11-01 |
| 1063459261 | Raymond A Sullivan Jr. | Orthopaedic Surgery | 11 Nevins St. Suite 303, St. Elizabeth's Med Blg, Brighton, MA 02135 | 2006-05-31 |
| 1114985348 | Glen Ross | Orthopaedic Surgery | 20 Guest St, Ste 225, Brighton, MA 02135-2065 | 2006-05-04 |
| 1336753409 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 1600 Prairie Center Pkwy, Brighton, CO 80601-4006 | 2020-09-04 |
| 1932746278 | Platte Valley Medical Group LLC | Orthopaedic Surgery | 1610 Prairie Center Pkwy, Ste 2200, Brighton, CO 80601 | 2019-12-05 |
| 1659829323 | Pro Sports Orthopedics, LLC | Orthopaedic Surgery | 20 Guest St, Suite 225, Brighton, MA 02135 | 2016-09-12 |
| 1396083937 | Pro Sports Orthopedics, Inc | Orthopaedic Surgery | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2013-01-16 |
| 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.