BONE & JOINT MEDICAL CENTER PC (NPI# 1972807469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972807469 |
| Entity Type | Organization |
| Organization Name | BONE & JOINT MEDICAL CENTER PC |
| Practice Address |
5301 Mcauley Dr Ypsilanti MI 48197-1051 |
| Mailing Address |
227 Riverside Ave Adrian MI 49221-1582 |
| Practice Telephone | 5172630575 |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |
| Authorized Official Name | JON M MAXWELL (OWNER) |
| Authorized Official Telephone | 5172630575 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
5301 MCAULEY DR |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629066535 | Marla C Mikelait | Pediatrics | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2005-10-13 |
| 1790301638 | Amy Nicole Wiechec | Registered Nurse | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2020-06-16 |
| 1982228151 | Lauren Patricia Williams | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2020-06-03 |
| 1225659196 | Hannah Rose Miller | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2020-05-02 |
| 1841811825 | Mercedes Bakian | Registered Nurse | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2020-05-01 |
| 1073152617 | Kayla Lynne Prasch | Nurse Practitioner | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-12-30 |
| 1174162150 | Najwan Raban | Nurse Anesthetist, Certified Registered | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-12-23 |
| 1528606589 | Marissa Stromberg | Nurse Anesthetist, Certified Registered | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-12-20 |
| 1861037251 | Suzanne Rado Carlisle | Registered Nurse | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-11-09 |
| 1922654821 | Janelle Jean Davis | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
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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 |
|---|---|---|---|---|
| 1952879199 | Sade Christine Keyes | Orthopaedic Surgery | 8444 Jack Pine Dr, Ypsilanti, MI 48197-7518 | 2018-11-06 |
| 1154531622 | Victor Nabeel Hakim | Orthopaedic Surgery | 5315 Elliott Dr Ste 301, Ypsilanti, MI 48197 | 2007-05-23 |
| 1194862326 | John K Anderson Md PC | Orthopaedic Surgery | 4972 W Clark Rd, Ste 200, Ypsilanti, MI 48197-0862 | 2007-01-30 |
| 1396705893 | John Kandelin Morris | Orthopaedic Surgery | 4972 West Clark Road, Suite 200, Ypsilanti, MI 48197 | 2006-03-27 |
| 1760483010 | Robert A Young | Orthopaedic Surgery | 5315 Elliott Dr, Suite 301, Ypsilanti, MI 48197-8634 | 2005-08-09 |
| 1447714530 | Iha Health Service Corporation | Orthopaedic Surgery | 5315 Elliott Dr Ste 301, Ypsilanti, MI 48197-8634 | 2019-01-23 |
| 1093174237 | Iha Health Services Corporation | Orthopaedic Surgery | 5315 Elliott Drive, Suite 304, Ypsilanti, MI 48197 | 2016-02-16 |
| 1679938179 | Rakesh Ramakrishnan Md PC | Orthopaedic Surgery | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2015-12-28 |
| 1992109904 | Iha Health Services Corp. | Orthopaedic Surgery | 5315 Elliott Dr, Suite 202, Ypsilanti, MI 48197-8634 | 2014-10-20 |
| 1225467814 | Chelsea Professional Services | Orthopaedic Surgery | 5315 Elliott Dr, Suite 301, Ypsilanti, MI 48197-8634 | 2013-11-05 |
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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.