NICHOLAS DUTCHESHEN (NPI# 1437544012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437544012 |
| Entity Type | Organization |
| Organization Name | NICHOLAS DUTCHESHEN |
| Practice Address |
1350 Kirts Blvd Suite 160 Troy MI 48084-4851 |
| Practice Telephone | 2482449426 |
| Mailing Telephone | 2482449426 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |
| Authorized Official Name | NICHOLAS DUTCHESHEN (PRESIDENT) |
| Authorized Official Telephone | 2482449426 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 4301077647 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5223466 | 05 |
| Street Address |
1350 KIRTS BLVD SUITE 160 |
| City | TROY |
| State | MI |
| Zip Code | 48084-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548250855 | Lori Marcum Fedoronko | Dermatology | 1350 Kirts Blvd, Suite 155, Troy, MI 48084-4851 | 2005-10-27 |
| 1295244283 | Diana Elizabeth Flaharty | Physician Assistant | 1350 Kirts Blvd, Troy, MI 48084-4851 | 2017-09-22 |
| 1992243703 | Michigan Orthopaedic Surgeons Pllc | Orthopaedic Surgery | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2017-02-01 |
| 1174975551 | Michael A Flierl, Md PC | Orthopaedic Surgery | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2016-07-08 |
| 1144696188 | Christina Endress Md PC | Orthopaedic Surgery | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2015-08-13 |
| 1730565482 | Nicholas T. Dutcheshen Md PC | Orthopaedic Surgery | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2015-08-05 |
| 1548680416 | Chelsea Elliott | Physical Therapist | 1350 Kirts Blvd, Ste. 120, Troy, MI 48084-4851 | 2014-04-18 |
| 1932533460 | Robert Belke | Physician Assistant | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2013-09-03 |
| 1780018432 | Anthony Franco | Physician Assistant | 1350 Kirts Blvd, Suite 160, Troy, MI 48084 | 2013-08-29 |
| 1538413539 | Ashleigh Kristen Tazzioli | Physical Therapist | 1350 Kirts Blvd, Suite 120, Troy, MI 48084-4851 | 2012-10-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
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| 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 |
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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.