MICHIGAN ORTHOPEDIC SURGERY AND REHABILITATION, P.C. (NPI# 1295905743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295905743 |
| Entity Type | Organization |
| Organization Name | MICHIGAN ORTHOPEDIC SURGERY AND REHABILITATION, P.C. |
| Practice Address |
6565 W Main St Suite 235 Kalamazoo MI 49009-6114 |
| Practice Telephone | 2695444715 |
| Practice Fax Number | 2695444719 |
| Mailing Telephone | 2695444715 |
| Mailing Fax Number | 2695444719 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | PATTI PIERMAN (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2693416417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 4301041296 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 2003984572 | 01 |
| MI | BLUE CARE NETWORK | 2003984572 | 01 |
| MI | 2576506 | 05 | |
| R/R MEDICARE PIN | 791203295 | 01 |
| Street Address |
6565 W MAIN ST SUITE 235 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-6114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720080351 | Robert C Kiser | Emergency Medicine | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2005-08-12 |
| 1851863617 | Vicky F Mikowski | Nurse Practitioner | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2018-12-18 |
| 1003317504 | West Michigan Medical PC | Physical Medicine & Rehabilitation | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2018-02-21 |
| 1689128571 | Haley Vos | Physician Assistant | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2016-08-08 |
| 1710312467 | Adam J Toomey | Physician Assistant | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2013-09-12 |
| 1568631117 | Karrie E Kranz | Physician Assistant | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2008-02-28 |
| 1558423681 | Linnea Halfvarson | Psychologist | 6565 W Main St, Suite 215, Kalamazoo, MI 49009-6114 | 2006-12-14 |
| 1205945359 | Physiotherapy Associates Inc | Clinic/Center | 6565 W Main St, Suite 101, Kalamazoo, MI 49009-9144 | 2006-08-30 |
| 1629188339 | Rxruss Inc | Pharmacy | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2006-08-30 |
| 1487685657 | Bryon David Boley | Family Medicine | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| 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 |
|---|---|---|---|---|
| 1275784589 | Erin Elizabeth Henn | Orthopaedic Surgery | 601 John St Ste M-424, Kalamazoo, MI 49007-5354 | 2008-10-06 |
| 1396902904 | J. Phillip Horwich M.d. PC | Orthopaedic Surgery | 336 S Kalamazoo Mall, Kalamazoo, MI 49007-4859 | 2008-05-21 |
| 1558305193 | James D Gilbert | Orthopaedic Surgery | 2318 Gull Rd, Suite A-1, Kalamazoo, MI 49048-3619 | 2006-06-15 |
| 1235124280 | William M Uggen | Orthopaedic Surgery | 2490 S 11th St, Suite 201, Kalamazoo, MI 49009-2175 | 2005-09-15 |
| 1013329390 | Christopher Betzle | Orthopaedic Surgery | 601 John St Ste M-424, Kalamazoo, MI 49007-5354 | 2014-05-21 |
| 1750792446 | Patrick Keating O'callaghan | Orthopaedic Surgery | 601 John St Ste M-206c, Kalamazoo, MI 49007-5359 | 2014-05-15 |
| 1659781938 | Alexander Connaughton | Orthopaedic Surgery | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2014-05-07 |
| 1407135189 | David Lee Mayor II | Orthopaedic Surgery | 2490 S 11th St, Kalamazoo, MI 49009-2175 | 2011-08-11 |
| 1841510773 | Paul Joseph Danielsky | Orthopaedic Surgery | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2010-06-02 |
| 1821257957 | James Robert Jastifer | Orthopaedic Surgery | 2490 S 11th St, Ste 201, Kalamazoo, MI 49009-2175 | 2008-06-04 |
| Find all providers in KALAMAZOO | ||||
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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.