ROCHESTER KNEE & SPORTS MEDICINE PC (NPI# 1245621804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245621804 |
| Entity Type | Organization |
| Organization Name | ROCHESTER KNEE & SPORTS MEDICINE PC |
| Other Organization Name | CENTER FOR ADVANCED ORTHOPEDICS AND SPORTS MEDICINE |
| Practice Address |
5701 Bow Pointe Dr Suite 300 Clarkston MI 48346-3198 |
| Mailing Address |
3100 Cross Creek Pkwy Suite 200 Auburn Hills MI 48326-2774 |
| Practice Telephone | 2483778000 |
| Practice Fax Number | 2483772929 |
| Mailing Telephone | 2483778000 |
| Mailing Fax Number | 2483772929 |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | VALERE ANN LABELL (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 2483778000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Center for Advanced Orthopedics and Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285025015 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 4600 Investment Dr Ste 120, Troy, MI 48098 | 2015-02-16 |
| 1295188365 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 3100 Cross Creek Pkwy Ste 110, Auburn Hills, MI 48326 | 2016-07-13 |
| 1689037749 | Rochester Knee & Sports Medicine PC | Orthotic Fitter | 3100 Cross Creek Pkwy Ste 160, Auburn Hills, MI 48326 | 2016-04-05 |
| Street Address |
5701 BOW POINTE DR SUITE 300 |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-3198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955246 | James A Oneill | Pediatrics | 5701 Bow Pointe Dr, Suite 100, Clarkston, MI 48346-3198 | 2005-07-14 |
| 1154872190 | Bianca Green | Nurse Practitioner | 5701 Bow Pointe Dr, Clarkston, MI 48346-3198 | 2016-10-14 |
| 1437504149 | Sara Michelle Lebovic | Advanced Practice Midwife | 5701 Bow Pointe Dr, Suite 350, Clarkston, MI 48346-3198 | 2016-05-01 |
| 1649643263 | Michael Engler | Physician Assistant | 5701 Bow Pointe Dr, Clarkston, MI 48346-3198 | 2015-11-04 |
| 1285000869 | Sandra Aloia | Nurse Practitioner | 5701 Bow Pointe Dr, Ste 370, Clarkston, MI 48346 | 2015-08-18 |
| 1316371271 | Arli Susan Motsinger | Nurse Practitioner | 5701 Bow Pointe Dr, Suite100, Clarkston, MI 48346-3198 | 2013-08-28 |
| 1609200021 | Scott Walter Tycholiz | Physician Assistant | 5701 Bow Pointe Dr, Suite 120, Clarkston, MI 48346-3198 | 2013-08-22 |
| 1710239652 | Rebecca Lynn Warner | Physical Therapist | 5701 Bow Pointe Dr, Ste 300, Clarkston, MI 48346-3198 | 2012-10-02 |
| 1811262546 | Bradley Wallace Erlandson Sr. | Counselor | 5701 Bow Pointe Dr, Clarkston, MI 48346-3198 | 2012-03-13 |
| 1043525025 | Susan Louise Clark | Nurse Practitioner | 5701 Bow Pointe Dr, Suite 225, Clarkston, MI 48346-3198 | 2010-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629572599 | Befitting You, LLC | Durable Medical Equipment & Medical Supplies | 7650 Dixie Hwy Ste 130, Clarkston, MI 48346-2078 | 2018-03-23 |
| 1225433717 | Henry Hunt | Durable Medical Equipment & Medical Supplies | 1612 Rimview Dr, Clarkston, WA 99403-3041 | 2014-10-27 |
| 1639593528 | Irb Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 5701 Bow Pointe Dr Ste 105, Clarkston, MI 48346-3199 | 2014-02-12 |
| 1598044208 | Scooter Chair Repair Georgia, LLC | Durable Medical Equipment & Medical Supplies | 3519 Church St, Unit D, Clarkston, GA 30021-1723 | 2011-08-11 |
| 1396977203 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 306 5th St, Clarkston, WA 99403-1860 | 2009-08-12 |
| 1952545758 | Staniszewski Optometry Pllc | Durable Medical Equipment & Medical Supplies | 7111 Dixie Hwy # 152, Clarkston, MI 48346-2077 | 2009-04-23 |
| 1295918571 | William H Reuther | Durable Medical Equipment & Medical Supplies | 7478 Gateway Park Dr Ste B, Clarkston, MI 48346-2574 | 2007-12-10 |
| 1104029743 | Premier Braces | Durable Medical Equipment & Medical Supplies | 1366 Bridge St, Clarkston, WA 99403-2332 | 2007-06-11 |
| 1205906013 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 5751 Clarkston Road, Clarkston, MI 48348-4707 | 2006-11-09 |
| 1891804357 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 5789 Ortonville Road, Clarkston, MI 48346-2959 | 2006-08-29 |
| Find all providers in CLARKSTON | ||||
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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.