DR. SAM HAKKI HACKETTE (NPI# 1043253602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043253602 |
| Entity Type | Individual |
| Full Name | DR. SAM HAKKI HACKETTE |
| Other Name | PROF. SAM HAKKI |
| Credential | MD |
| Practice Address |
28037 Dequindre Rd Madison Heights MI 48071-3079 |
| Mailing Address |
Po Box 880 Sterling Hts MI 48311-0880 |
| Practice Telephone | 3132093353 |
| Practice Fax Number | 3134067255 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
4301104354 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE IDENTIFICATION NUMBER | MI7592002 | 01 |
| Street Address |
28037 DEQUINDRE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-3079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721261 | Oppenheimer Spine & Pain Clinic, LLC | Neurological Surgery | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2020-08-19 |
| 1477173508 | Mini Invasive Orthopedics | Orthopaedic Surgery | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2020-04-18 |
| 1205390952 | All Michigan Orthopedics Plc | Clinic/Center | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2019-01-28 |
| 1578036513 | Osman Spine Clinic LLC | Orthopaedic Surgery | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2019-01-02 |
| 1003307307 | Elite Financial Care LLC | Spec/Tech, Health Info | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2018-05-22 |
| 1528576139 | Heven Medical Marketing | Durable Medical Equipment & Medical Supplies | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2018-01-17 |
| 1659885200 | Md Spine and Health Center | Clinic/Center | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2017-11-17 |
| 1639681257 | Michigan Musculoskeletal Institute LLC | Orthopaedic Surgery | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2017-11-05 |
| 1528513199 | Radiology Group LLC | Health Educator | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2016-08-23 |
| 1841685195 | Computerized Joint Surgery LLC | Orthopaedic Surgery | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2015-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| 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 |
|---|---|---|---|---|
| 1639681257 | Michigan Musculoskeletal Institute LLC | Orthopaedic Surgery | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2017-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154710333 | Derek L Hill Do Pllc | Orthopaedic Surgery | 11446 E 13 Mile Rd Ste C, Warren, MI 48093-6571 | 2015-01-12 |
| 1174865174 | Benjamin Matthew Strong | Orthopaedic Surgery | 555 Midtowne St Ne Ste 105, Grand Rapids, MI 49503-5731 | 2013-03-18 |
| 1891003240 | Timothy Ephriam Ekpo | Orthopaedic Surgery | 12303 Pinehurst Ln, Grand Blanc, MI 48439-2634 | 2010-09-20 |
| 1194885459 | James Bennett Stanton | Orthopaedic Surgery | 174 S Wilson Blvd, Mount Clemens, MI 48043-2105 | 2006-12-09 |
| 1477658458 | Thomas R Perkins | Orthopaedic Surgery | 1349 S Rochester Rd Ste 205, Rochester Hills, MI 48307-3152 | 2006-09-14 |
| 1124020276 | Edward Gerard Loniewski | Orthopaedic Surgery | 28455 Haggerty Rd Ste 200, Novi, MI 48377-2982 | 2005-06-01 |
| 1356973119 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2020-02-10 |
| 1457835423 | Jointly Orthopaedics PC | Orthopaedic Surgery | 937 N Opdyke Rd, Auburn Hills, MI 48326-2641 | 2018-09-17 |
| 1053817494 | Daniel R Mesko Do PC | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910 | 2018-04-04 |
| 1174975551 | Michael A Flierl, Md PC | Orthopaedic Surgery | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2016-07-08 |
| Find all providers with the same taxonomy | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
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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.