MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC (NPI# 1669809612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669809612 |
| Entity Type | Organization |
| Organization Name | MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC |
| Practice Address |
29624 Woodward Ave Royal Oak MI 48073-0905 |
| Mailing Address |
1555 South Blvd E Suite 310 Rochester Hills MI 48307-5605 |
| Practice Telephone | 2482158080 |
| Practice Fax Number | 2482891085 |
| Mailing Telephone | 2482158095 |
| Mailing Fax Number | 2482891086 |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2013-10-07 |
| Authorized Official Name | RICHARD W EASTON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2482158095 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
4301051364 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972868321 | Michigan Orthopaedic Spine Surgeons PC | Orthopaedic Surgery | 1555 South Blvd E, Suite 310, Rochester Hills, MI 48307-5605 | 2012-07-11 |
| Street Address |
29624 WOODWARD AVE |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-0905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790070951 | Yosef Smorgick | Orthopaedic Surgery | 3535 W 13 Mile Rd, Suite 744, Royal Oak, MI 48073-6770 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144650391 | Accuspine Pllc | Orthopaedic Surgery | 612 Park St, Birmingham, MI 48009-3424 | 2013-11-24 |
| 1376808105 | Lucent Spine, Pllc | Orthopaedic Surgery | 2300 Haggerty Rd Ste 2100, West Bloomfield, MI 48323-2191 | 2012-07-09 |
| 1033143052 | Jeffrey K. Wingate, M.d. | Orthopaedic Surgery | 13355 East Ten Mile Road, Medical Office Building East Ste. 115, Warren, MI 48089 | 2006-07-10 |
| 1689605925 | Philip Jeffery Mayer | Orthopaedic Surgery | 9389 N Haggerty Rd, Plymouth, MI 48170-4622 | 2006-07-05 |
| 1235117524 | Jeffrey K Wingate | Orthopaedic Surgery | 555 Barclay Cir Ste 140, Rochester Hills, MI 48307-4587 | 2006-01-06 |
| 1801870266 | Edgar Neil Pasia | Orthopaedic Surgery | 940 River Centre Dr., Port Huron, MI 48060 | 2005-11-30 |
| 1194713669 | Kenneth J Easton | Orthopaedic Surgery | 1111 Leffingwell Ne, Ste 100, Grand Rapids, MI 49525 | 2005-10-10 |
| 1669465761 | John Ernest Lamacchia | Orthopaedic Surgery | 1135 W University Dr Ste 450, Rochester, MI 48307-1871 | 2005-08-24 |
| 1104458181 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2020-02-07 |
| 1124589460 | Smi Care of Mi, LLC | Orthopaedic Surgery | 755 W Big Beaver Rd Ste 2020, Troy, MI 48084-4925 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
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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.