FAMILY ORTHOPEDIC ASSOCIATES P L C (NPI# 1215930490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215930490 |
| Entity Type | Organization |
| Organization Name | FAMILY ORTHOPEDIC ASSOCIATES P L C |
| Other Organization Name | ORTHOMICHIGAN |
| Practice Address |
4466 W Bristol Rd Flint MI 48507-3170 |
| Practice Telephone | 8107331200 |
| Practice Fax Number | 8107330688 |
| Mailing Telephone | 8107331200 |
| Mailing Fax Number | 8107330688 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | MRS. JANET KAY WEBSTER (BILLING MANAGER) |
| Authorized Official Telephone | 8107331200 |
| Authorized Official Credential | R.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
4301065543 | MI | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | 5601001619 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 4704223732 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 207X00000X | Orthopaedic Surgery | 4301038287 | MI | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
4301060974 | MI | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
4301060979 | MI | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
4301063943 | MI | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
4301059287 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1942628268 | 05 | |
| MI | GROUP MEDICARE PTAN | 0N45090 | 01 |
| MI | BCBSM PROVIDER ID # | 0B51156 | 01 |
| Other Name | Type Code |
|---|---|
| OrthoMichigan | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881969343 | Family Orthopedic Associates P L C | Occupational Therapy Assistant | 4181 W Vienna Rd, Ste D, Clio, MI 48420-9490 | 2012-03-16 |
| Street Address |
4466 W BRISTOL RD |
| City | FLINT |
| State | MI |
| Zip Code | 48507-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104327352 | Meghan Elida Brooks | Occupational Therapist | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2018-02-23 |
| 1841703527 | Sophie Fekete | Physician Assistant | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2017-11-16 |
| 1639691256 | Alexander Michael Ralston | Physician Assistant | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2017-07-14 |
| 1497296313 | Ryan Patrick Fallon | Occupational Therapist | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2017-03-10 |
| 1639621477 | Britt A Laing | Physical Therapist | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2016-10-27 |
| 1912454026 | Kristi Lewis | Social Worker | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2016-09-07 |
| 1881040210 | Family Orthopedic Associates Plc | Clinic/Center | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2016-05-04 |
| 1558731570 | Family Orthopedic Associates Plc | Orthopaedic Surgery | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2015-10-02 |
| 1205210226 | Jacob Cecil Thompson | Physician Assistant | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2015-07-20 |
| 1326436817 | Family Orthopedic Associates Plc | Physical Medicine & Rehabilitation | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2015-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1457961716 | Justin Michael Schupbach | Orthopaedic Surgery | 24 Frank Lloyd Wright Dr Lbby A, Ann Arbor, MI 48105-9484 | 2020-08-03 |
| 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 |
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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.