REGENTS OF THE UNIVERSITY OF MICHIGAN (NPI# 1033524335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033524335 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF MICHIGAN |
| Practice Address |
24 Frank Lloyd Wright Drive Ann Arbor MI 48105 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7349307400 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2015-12-01 |
| Authorized Official Name | DAVID A SPAHLINGER (EXEC MEDICAL DIRECTOR FACULTY GRP) |
| Authorized Official Telephone | 7349363568 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF MICHIGAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
MI | Allopathic & Osteopathic Physicians | |
| N | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
MI | Allopathic & Osteopathic Physicians | |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MI | Allopathic & Osteopathic Physicians | |
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
MN | Allopathic & Osteopathic Physicians | |
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
MI | Allopathic & Osteopathic Physicians | |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
MI | Allopathic & Osteopathic Physicians | |
| N | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
MI | Allopathic & Osteopathic Physicians | |
| N | 2084S0010X |
Psychiatry & Neurology Specialization: Sports Medicine |
MI | Allopathic & Osteopathic Physicians | |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184102774 | Regents of The University of Michigan | Prosthetic/Orthotic Supplier | 7500 Challis Rd Ste 1000, Brighton, MI 48116-9416 | 2018-08-06 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1619474376 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 39901 Traditions Dr Ste 230, Northville, MI 48168 | 2018-04-10 |
| 1619474491 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 1974 N Huron River Dr Ste 100, Ypsilanti, MI 48197-1894 | 2018-04-09 |
| 1114345428 | Regents of The University of Michigan | Hearing Aid Equipment | 475 Marketplace, Ann Arbor, MI 48108 | 2014-04-03 |
| 1487833588 | Regents of The University of Michigan | Anesthesiology | 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 | 2007-10-25 |
| 1801933254 | Regents of The University of Michigan | Clinic/Center | 4270 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2007-02-01 |
| 1003967035 | Regents of The University of Michigan | Pharmacy | 1500 E Medical Center Dr Spc 5008, Spc 5008, Ann Arbor, MI 48109-5008 | 2007-01-16 |
| 1770508350 | Regents of The University of Michigan | Podiatrist | 400 E Eisenhower Pkwy, Suite B, Ann Arbor, MI 48108 | 2006-07-13 |
| 1902821572 | Regents of The University of Michigan | Optometrist | 5728 Whitmore Lake Rd, Brighton, MI 48116 | 2006-07-13 |
| Street Address |
24 FRANK LLOYD WRIGHT DRIVE |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457384067 | Regents of The University of Michigan | Orthopaedic Surgery | 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48105 | 2006-07-08 |
| 1245732791 | Jamie Wisniewski | Physical Therapy Assistant | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106 | 2018-03-01 |
| 1164924627 | Amanda Renea Eggleston | Physical Therapy Assistant | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106 | 2018-03-01 |
| 1942736194 | Kelsey Lauren Johnson | Physician Assistant | 24 Frank Lloyd Wright Drive, Domino's Farms, Lobby A, Ann Arbor, MI 48105-9484 | 2017-05-10 |
| 1801291315 | Progressive Sleep, Plc | Family Medicine | 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48106-0326 | 2014-10-27 |
| 1033524764 | Daniel Shelden | Internal Medicine | 24 Frank Lloyd Wright Drive, Lobby G, Suite 1500, Ann Arbor, MI 48106 | 2014-06-20 |
| 1427327618 | Karen Engfehr | Specialist/Technologist | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106-0391 | 2011-12-19 |
| 1245521848 | Elizabeth Anne Jeffery | Nurse Practitioner | 24 Frank Lloyd Wright Drive, Lobby M Level 2, Ann Arbor, MI 48105-9484 | 2011-04-29 |
| 1578881041 | Mari Paz Castanedo Tardan | Dermatology | 24 Frank Lloyd Wright Drive, Lobby H Suite 2350, Ann Arbor, MI 48105-9484 | 2010-05-09 |
| 1962732156 | Adeyiza Olutoyin Momoh | Orthopaedic Surgery | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105-9484 | 2010-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961716 | Justin Michael Schupbach | Orthopaedic Surgery | 24 Frank Lloyd Wright Dr Lbby A, Ann Arbor, MI 48105-9484 | 2020-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1689871576 | Stacy Ann Frye | Orthopaedic Surgery | 3960 Patient Care Dr Ste 113, Lansing, MI 48911-4279 | 2007-07-02 |
| 1215075106 | Carl Henry Wierks | Orthopaedic Surgery | 1000 E Paris Ave Se Ste 215, Grand Rapids, MI 49546-3680 | 2007-02-02 |
| 1003909524 | Mfb Professional Services Inc | Orthopaedic Surgery | 1155 E. Paris, Ste 200, Grand Rapids, MI 49546 | 2006-10-02 |
| 1598878266 | Abdallah Simaika | Orthopaedic Surgery | 2797 Applegate Rd, Po Box 55, Applegate, MI 48401-9752 | 2006-08-16 |
| 1689662405 | Richard M Howell | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2005-10-06 |
| 1235121138 | Steven T Plomaritis | Orthopaedic Surgery | 28001 Schoenherr Rd, Suite 3, Warren, MI 48088-4396 | 2005-08-17 |
| 1053945923 | Pure Performance Orthopedics & Sports Medicine | Orthopaedic Surgery | 27207 Lahser Rd Ste 108, Southfield, MI 48034-2168 | 2020-02-28 |
| 1396377131 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2020-02-10 |
| 1477011591 | Shannon Elizabeth Manno | Orthopaedic Surgery | 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 | 2019-03-07 |
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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.