GREATER FLINT SPORTS MEDICINE CENTER (NPI# 1407002751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407002751 |
| Entity Type | Organization |
| Organization Name | GREATER FLINT SPORTS MEDICINE CENTER |
| Practice Address |
861 Health Park Blvd Grand Blanc MI 48439-7383 |
| Practice Telephone | 8109530500 |
| Practice Fax Number | 8109530031 |
| Mailing Telephone | 8109530500 |
| Mailing Fax Number | 8109530031 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | BRUCE LAWRENCE (PRESIDENT) |
| Authorized Official Telephone | 8109530500 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CARE NETWORK | 0B54737 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760701106 | Greater Flint Sports Medicine Center | Orthopaedic Surgery | 861 Health Park Blvd, Grand Blanc, MI 48439-7383 | 2010-05-25 |
| Street Address |
861 HEALTH PARK BLVD |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-7383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131541 | Todd A. Sandrock | Orthopaedic Surgery | 861 Health Park Blvd, Grand Blanc, MI 48439 | 2005-06-01 |
| 1760701106 | Greater Flint Sports Medicine Center | Orthopaedic Surgery | 861 Health Park Blvd, Grand Blanc, MI 48439-7383 | 2010-05-25 |
| 1922121540 | Kristen Marie Kurzeja | Physical Therapist | 861 Health Park Blvd, Grand Blanc, MI 48439-7383 | 2007-04-09 |
| 1447361431 | Deborah Sue Smith | Physical Therapist | 861 Health Park Blvd, Grand Blanc, MI 48439-7383 | 2006-08-31 |
| 1346351343 | Paul Steven Czarnecki | Physical Therapist | 861 Health Park Blvd, Grand Blanc, MI 48439-7383 | 2006-08-31 |
| 1265459150 | Greater Flint Sports Medicine Center PC | Physical Therapist | 861 Health Park Blvd, Grand Blanc, MI 48439 | 2006-07-16 |
| 1992734586 | James Francis Heming | Orthopaedic Surgery | 861 Health Park Blvd, Grand Blanc, MI 48439 | 2006-07-03 |
| 1114957727 | Mark Edward Dyball | Orthopaedic Surgery | 861 Health Park Blvd, Grand Blanc, MI 48439 | 2006-07-03 |
| 1467482018 | Bruce Douglas Lawrence | Orthopaedic Surgery | 861 Health Park Blvd, Grand Blanc, MI 48439 | 2006-07-03 |
| 1831128180 | John David Martin | Orthopaedic Surgery | 861 Health Park Blvd, Grand Blanc, MI 48439-7383 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| 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 |
|---|---|---|---|---|
| 1396374716 | Arjun Patel | Orthopaedic Surgery | Ascension Genesys, Gme Dept, One Genesys Pkwy, Grand Blanc, MI 48439-4843 | 2020-04-07 |
| 1235131541 | Todd A. Sandrock | Orthopaedic Surgery | 861 Health Park Blvd, Grand Blanc, MI 48439 | 2005-06-01 |
| 1780205997 | Jake Stahnke | Orthopaedic Surgery | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-04-28 |
| 1902425291 | Anthony Dugarte | Orthopaedic Surgery | 1 Genesys Pkwy, Gme Dept., Grand Blanc, MI 48439 | 2020-04-16 |
| 1164086773 | Curtis J Barnes | Orthopaedic Surgery | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2019-04-29 |
| 1356904205 | Noah Eric Kelm | Orthopaedic Surgery | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2019-04-17 |
| 1295398014 | Garrett Michael Gilbert | Orthopaedic Surgery | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2019-04-17 |
| 1881188290 | Katie Smeltzer | Orthopaedic Surgery | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2018-06-19 |
| 1679060024 | Amy Lynn Meyers | Orthopaedic Surgery | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2018-04-20 |
| 1972030716 | Madhish Patel | Orthopaedic Surgery | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2017-05-11 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
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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.