ROCHESTER KNEE & SPORTS MEDICINE PC (NPI# 1285025015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285025015 |
| Entity Type | Organization |
| Organization Name | ROCHESTER KNEE & SPORTS MEDICINE PC |
| Other Organization Name | CENTER FOR ADVANCED ORTHOPEDICS AND SPORTS MEDICINE |
| Practice Address |
4600 Investment Dr Ste 120 Troy MI 48098 |
| Mailing Address |
3100 Cross Creek Pkwy Ste 200 Auburn Hills MI 48326-2776 |
| Practice Telephone | 2484800128 |
| Mailing Telephone | 2483778000 |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | TAYLOR NEWKIRK (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2483778000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Advanced Orthopedics and Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1245621804 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 5701 Bow Pointe Dr, Suite 300, Clarkston, MI 48346-3198 | 2015-02-18 |
| Street Address |
4600 INVESTMENT DR STE 120 |
| City | TROY |
| State | MI |
| Zip Code | 48098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949289 | Douglas Ross | Physical Therapy Assistant | 4062 Livernois Rd, Troy, MI 48098 | 2020-04-01 |
| 1104382837 | Minxes Inc | Chiropractor | 1175 W. Long Lake Rd, Suite 100, Troy, MI 48098 | 2019-02-19 |
| 1689160053 | Nyssa J Swanson | Physical Therapist | 5440 Corporate Dr Ste 400, Troy, MI 48098 | 2018-07-09 |
| 1447742580 | Rebecca Jane Stros | Counselor | 900 Tower Dr, Troy, MI 48098 | 2018-06-05 |
| 1356863278 | Brigette Johnson | Occupational Therapist | 4794 Riverchase Dr, Troy, MI 48098 | 2017-07-12 |
| 1912448382 | Devyn Depeter | Technician/Technologist | 5877 Livernois Rd Ste 104, Troy, MI 48098 | 2017-03-17 |
| 1649690231 | Tammy Beesley-schick | Registered Nurse | 4568 Odette Ct, Troy, MI 48098 | 2014-04-22 |
| 1306269584 | Medi-care | Ambulance | 5741 Faircastle, Troy, MI 48098 | 2014-01-24 |
| 1881953644 | Diane Marie Bald | Social Worker | 1707 White Birch Ct, Troy, MI 48098 | 2012-05-14 |
| 1649423302 | Advanced Therapy Services, Inc | Physical Therapist | 115 E Long Lake Rd., Troy, MI 48098 | 2008-10-28 |
| Find all providers in zip 48098 | ||||
| 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 |
|---|---|---|---|---|
| 1023678059 | Th Mg Ohio LLC | Orthopaedic Surgery | 1050 Wilshire Dr Ste 300, Troy, MI 48084-1526 | 2019-06-20 |
| 1699911446 | Uvpc Specialists, Inc. | Orthopaedic Surgery | 31 S. Stanfield Road, Suite 202, Troy, OH 45373 | 2008-12-29 |
| 1033323712 | Herbert J. Roth Jr. Md PC | Orthopaedic Surgery | 201 W. Big Beaver Rd, Suite 1060, Troy, MI 48084-4100 | 2007-05-10 |
| 1598876708 | John M Schimpke Md PC | Orthopaedic Surgery | 44199 Dequindre Suite 250, Troy, MI 48085-1128 | 2006-08-31 |
| 1992732895 | Herbert J Roth Jr. | Orthopaedic Surgery | 201 W Big Beaver Rd, Ste 1060, Troy, MI 48084 | 2006-06-27 |
| 1659327526 | Robert L Liljeberg Jr. | Orthopaedic Surgery | 1340 Highway 231 S, Suite 6, Troy, AL 36081-3011 | 2006-05-25 |
| 1508816539 | David Matthew Viviano | Orthopaedic Surgery | 1380 Coolidge Hwy Ste 110, Troy, MI 48084-7067 | 2006-05-11 |
| 1750340170 | Matthew Kopera | Orthopaedic Surgery | 6905 Rochester Rd, Suite C, Troy, MI 48085-1282 | 2006-03-23 |
| 1720061187 | Jerome V Ciullo | Orthopaedic Surgery | 5600 Crooks Rd, Ste 103, Troy, MI 48098-2811 | 2005-11-21 |
| 1205818432 | Charles C Stroud | Orthopaedic Surgery | 4550 Investment Dr Ste 240, Troy, MI 48098-6334 | 2005-11-15 |
| Find all providers in TROY | ||||
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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.