PORRETTA CENTER FOR ORTHOPAEDIC SURGERY PC (NPI# 1053758391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053758391 |
| Entity Type | Organization |
| Organization Name | PORRETTA CENTER FOR ORTHOPAEDIC SURGERY PC |
| Other Organization Name | THE CORE INSTITUTE |
| Practice Address |
26750 Providence Pkwy Ste 200 Novi MI 48374-1211 |
| Mailing Address |
18444 N 25th Ave Ste 310 Phoenix AZ 85023-1261 |
| Practice Telephone | 8669742673 |
| Practice Fax Number | 8669392673 |
| Mailing Telephone | 8669742673 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2015-08-07 |
| Authorized Official Name | DAVID MARKEL (MANAGING PARTNER) |
| Authorized Official Telephone | 8669742673 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PORRETTA CENTER FOR ORTHOPAEDIC SURGERY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
MI | Suppliers | |
| N | 335E00000X | Prosthetic/Orthotic Supplier | MI | Suppliers | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MI | Suppliers |
| Other Name | Type Code |
|---|---|
| The CORE Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639576440 | Porretta Center for Orthopaedic Surgery PC | Durable Medical Equipment & Medical Supplies | 8273 Grand River Rd, Ste 210, Brighton, MI 48114-9346 | 2014-11-21 |
| 1659763563 | Porretta Center for Orthopaedic Surgery PC | Prosthetic/Orthotic Supplier | 4442 Genesys Pkwy, Grand Blanc, MI 48439-8072 | 2015-03-02 |
| 1396182804 | Porretta Center for Orthopaedic Surgery PC | Durable Medical Equipment & Medical Supplies | 22250 Providence Dr, Ste 401, Southfield, MI 48075-4825 | 2013-05-24 |
| 1306818331 | Porretta Center for Orthopaedic Surgery PC | Physical Therapist | 22250 Providence Dr, Suite 401, Southfield, MI 48075-4825 | 2006-02-03 |
| Street Address |
26750 PROVIDENCE PKWY STE 200 |
| City | NOVI |
| State | MI |
| Zip Code | 48374-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750367009 | John D Miller | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2005-12-19 |
| 1851941462 | Lisa Sue Hoatlin | Occupational Therapist | 26750 Providence Pkwy, Novi, MI 48374-1211 | 2019-09-16 |
| 1699292698 | Jesse Ray Steenwyk | Specialist/Technologist | 26750 Providence Pkwy, Novi, MI 48374-1211 | 2017-08-29 |
| 1336598283 | James Allen Hyland | Physician Assistant | 26750 Providence Pkwy, # 220, Novi, MI 48374-1211 | 2016-06-10 |
| 1225430929 | Carol R. Grimmer | Nurse Practitioner | 26750 Providence Pkwy, Suite 210, Novi, MI 48374-1211 | 2014-09-24 |
| 1902101520 | Vhs Physicians of Michigan | Orthopaedic Surgery | 26750 Providence Pkwy, Suite 210, Novi, MI 48374-1211 | 2011-01-12 |
| 1609006279 | William K. Kesto | Specialist | 26750 Providence Pkwy, Ste 200, Novi, MI 48374-1212 | 2009-07-17 |
| 1144457102 | Associated Podiatrists,pc | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2009-06-17 |
| 1417113036 | Erik Brian Eller | Specialist | 26750 Providence Pkwy, Ste 200, Novi, MI 48374-1212 | 2008-08-03 |
| 1427210038 | Eric Austin Neal | Physical Therapist | 26750 Providence Pkwy, Suite 200, Novi, MI 48374-1211 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| 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 |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1073157004 | Befitting You, LLC | Durable Medical Equipment & Medical Supplies | 26850 Providence Pkwy Ste 110, Novi, MI 48374-1214 | 2019-11-02 |
| 1801349709 | Soleo Health Inc | Durable Medical Equipment & Medical Supplies | 26800 Meadowbrook Road, Suite 119, Novi, MI 48377-3540 | 2016-07-27 |
| 1952764029 | First Class Home Care Inc | Durable Medical Equipment & Medical Supplies | 43050 12 Oaks Crescent Dr, 2022, Novi, MI 48377-3433 | 2016-04-05 |
| 1700267267 | Macomb Primary Care, P.C. | Durable Medical Equipment & Medical Supplies | 39915 Grand River Avenue, Suite # 750, Novi, MI 48375-2153 | 2015-06-10 |
| 1689080319 | Soleo Health Inc. | Durable Medical Equipment & Medical Supplies | 26800 Meadowbrook Rd, Suite 119, Novi, MI 48377-3540 | 2014-07-02 |
| 1912263062 | American Mattress Gallery | Durable Medical Equipment & Medical Supplies | 43235 W 12 Mile Rd, Novi, MI 48377-3016 | 2012-04-03 |
| 1679861629 | Minimed Distribution Corp | Durable Medical Equipment & Medical Supplies | 39555 Orchard Hill Pl Ste 500, Attn: Angela Ward Jones, Novi, MI 48375-5526 | 2011-07-12 |
| 1669618039 | Joerns LLC | Durable Medical Equipment & Medical Supplies | 40900 Grand River Ave, Units 4008,4010,4011, Novi, MI 48375-2816 | 2009-01-06 |
| 1043474075 | Victor Geralt | Durable Medical Equipment & Medical Supplies | 28455 Haggerty Rd Ste 201, Novi, MI 48377-2982 | 2008-07-18 |
| Find all providers in NOVI | ||||
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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.