SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P (NPI# 1104913094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104913094 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P |
| Practice Address |
183 Peace Blvd Saint Joseph MI 49085-9146 |
| Practice Telephone | 2694283500 |
| Practice Fax Number | 2694296429 |
| Mailing Telephone | 2694283500 |
| Mailing Fax Number | 2694296429 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2009-04-21 |
| Authorized Official Name | DR. KENNETH J EDWARDS (MANAGING PARTNER) |
| Authorized Official Telephone | 2694283500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
183 PEACE BLVD |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-9146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763351 | Bethany Lynn Hoffman | Physical Therapist | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2005-07-14 |
| 1245710417 | Emma K Fishnick | Physician Assistant | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2018-08-17 |
| 1396120242 | Lori Bliven | Physical Therapist | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2015-07-21 |
| 1558661157 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2010-10-28 |
| 1174833560 | Rebecca Walter | Nurse Practitioner | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2010-10-19 |
| 1376732016 | Justin Tyler Sybesma | Orthopaedic Surgery | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2007-10-18 |
| 1477756062 | Joseph Adam Farber | Orthopaedic Surgery | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2007-06-09 |
| 1760541858 | Empicare, Inc. | Durable Medical Equipment & Medical Supplies | 183 Peace Blvd, Suite A, Saint Joseph, MI 49085-9146 | 2006-12-06 |
| 1013955020 | Brian Larry Kim Arny | Physical Therapist | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2006-06-02 |
| 1710966254 | Daniel G. Sohn | Orthopaedic Surgery | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2006-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720441728 | Great Lakes Sports Medicine and Concussion Clinic | Specialist | 3906 Stonegate Park Ste A, Saint Joseph, MI 49085-9145 | 2016-03-29 |
| 1366714131 | Gary Steven Nadolski | Specialist | 44 Court Dr, Saint Joseph, MO 64506-4315 | 2012-02-08 |
| 1700041522 | Bernard E Libel | Specialist | 1105 S Belt Hwy, Saint Joseph, MO 64507-2224 | 2008-07-21 |
| 1598784050 | David Andrew Driscoll | Specialist | 2516 Niles Ave, Saint Joseph, MI 49085-1937 | 2006-07-18 |
| 1275584419 | St Joseph Neurology | Specialist | 105 Far West Dr, Ste 203, Saint Joseph, MO 64506-3500 | 2006-05-12 |
| 1700858180 | St. Joseph Family Medical Clinic, Inc. | Specialist | 2120 S Riverside Rd, Saint Joseph, MO 64507-2535 | 2006-02-01 |
| 1679570444 | Joel Phillip Karasek | Specialist | 3955 Sherman Ave, Saint Joseph, MO 64506-3649 | 2005-07-07 |
| 1013914241 | Samuel Ernest Logan | Specialist | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9137 | 2005-07-01 |
| 1063416642 | Sutinderpal S. Judge | Specialist | 2550 Niles Rd, Saint Joseph, MI 49085 | 2005-06-10 |
| 1619155611 | Barrett and Driscoll,md's,pc | Specialist | 2516 Niles Ave, Saint Joseph, MI 49085-1937 | 2008-02-01 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P.
| 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.