ORTHOPAEDIC SURGERY ASSOCIATES OF MARQUETTE PC (NPI# 1518466143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518466143 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC SURGERY ASSOCIATES OF MARQUETTE PC |
| Other Organization Name | ADVANCED CENTER FOR ORTHOPEDICS AND PLASTIC SURGERY |
| Practice Address |
841 West Washington Street Suite 100 Marquette MI 49855 |
| Mailing Address |
841 W Washington St Ste 100 Marquette MI 49855-4139 |
| Practice Telephone | 9062251321 |
| Practice Fax Number | 9062289371 |
| Mailing Telephone | 9062251321 |
| Mailing Fax Number | 9062289371 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-05-22 |
| Authorized Official Name | DALE MOILANEN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9062275624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Advanced Center for Orthopedics and Plastic Surgery | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1414 W Fair Ave Ste 190, Marquette, MI 498555406 | 9062251321 | 9062289371 |
| 841 West Washington Street, Suite 100, Marquette, MI 49855 | 9062251321 | 9062289371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730199845 | Orthopaedic Surgery Associates of Marquette PC | Plastic Surgery | 1414 W Fair Ave, Suite 190, Marquette, MI 49855-2675 | 2006-08-09 |
| Street Address |
841 WEST WASHINGTON STREET SUITE 100 |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| 1487030482 | Anna Baumgartner | Optometrist | 131w. Washington Street, Marquette, MI 49855 | 2015-08-03 |
| Find all providers in zip 49855 | ||||
| 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 |
|---|---|---|---|---|
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1922468321 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 2612 Us 41 W, Marquette, MI 49855-2257 | 2016-02-26 |
| 1962842435 | Wright & Filippis, Inc | Durable Medical Equipment & Medical Supplies | 832 W Washington St, Marquette, MI 49855-4144 | 2013-06-28 |
| 1437385143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1115 W Washington St, Marquette, MI 49855-4001 | 2009-06-09 |
| 1043492002 | Davis Drug Co | Durable Medical Equipment & Medical Supplies | 1015 N Third St, Marquette, MI 49855 | 2007-12-03 |
| 1053327858 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 5091 Us 41 South, Marquette, MI 49855 | 2006-08-01 |
| 1245252915 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 3250 Us Highway 41 W, Marquette, MI 49855-9483 | 2006-07-24 |
| 1962420398 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3225 Us 41 W, Marquette, MI 49855-9495 | 2006-07-17 |
| 1104875731 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1150 W Washington St, Marquette, MI 49855-4040 | 2006-05-10 |
| 1235505181 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 3045 Wright St, Marquette, MI 49855-9649 | 2015-08-14 |
| Find all providers in MARQUETTE | ||||
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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.