MICHIGAN ORTHOPAEDIC SURGEONS PLLC (NPI# 1306394309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306394309 |
| Entity Type | Organization |
| Organization Name | MICHIGAN ORTHOPAEDIC SURGEONS PLLC |
| Practice Address |
26025 Lahser Rd Fl 2 Southfield MI 48033-2606 |
| Mailing Address |
26211 Central Park Blvd Ste 201 Southfield MI 48076-4157 |
| Practice Telephone | 2486631900 |
| Practice Fax Number | 2486631901 |
| Mailing Telephone | 2487141635 |
| Mailing Fax Number | 2483276144 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | DENNIS JAMES VIELLIEU (CEO) |
| Authorized Official Telephone | 2488454365 |
| Is Organization Subpart | Y |
| Parent Organization Name | MICHIGAN ORTHOPAEDIC SURGEONS, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CV0133744 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17877 W 14 Mile Rd, Beverly Hills, MI 480253127 | 2486443920 | |
| 30575 Woodward Ave, Royal Oak, MI 480730980 | 2482808550 | |
| 24255 W 13 Mile Rd Ste 100, Bingham Farms, MI 480254345 | 2489888085 | |
| 1350 Kirts Blvd Ste 160, Troy, MI 480844852 | 2482449426 | |
| 33200 W 14 Mile Rd Ste 220, West Bloomfield, MI 483223586 | 2486631900 | 2486631901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841738648 | Michigan Orthopaedic Surgeons Pllc | Orthopaedic Surgery | 17877 W 14 Mile Rd, Beverly Hills, MI 48025-3127 | 2017-02-01 |
| 1184162992 | Michigan Orthopaedic Surgeons Pllc | Orthopaedic Surgery | 24255 W 13 Mile Rd, Suite 100, Bingham Farms, MI 48025-4320 | 2017-02-01 |
| 1801334610 | Michigan Orthopaedic Surgeons Pllc | Orthopaedic Surgery | 30575 Woodward Ave, Royal Oak, MI 48073-0980 | 2017-02-01 |
| 1992243703 | Michigan Orthopaedic Surgeons Pllc | Orthopaedic Surgery | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2017-02-01 |
| 1063950871 | Michigan Orthopaedic Surgeons Pllc | Orthopaedic Surgery | 33200 W 14 Mile Rd, Ste 220, West Bloomfield, MI 48322-3563 | 2017-02-01 |
| Street Address |
26025 LAHSER RD FL 2 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366659591 | Ehab S Saleh | Orthopaedic Surgery | 26025 Lahser Rd Fl 2, Michigan Orthopaedic Institute PC, Southfield, MI 48033-2606 | 2007-05-17 |
| 1790223857 | Michigan Orthopaedic Surgeons, Pllc | Orthopaedic Surgery | 26025 Lahser Rd Fl 2, Southfield, MI 48033-2606 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134681125 | Neuro Spine Institute Pllc | Orthopaedic Surgery | 29255 Northwestern Hwy Ste 202, Southfield, MI 48034-5741 | 2019-04-01 |
| 1366659591 | Ehab S Saleh | Orthopaedic Surgery | 26025 Lahser Rd Fl 2, Michigan Orthopaedic Institute PC, Southfield, MI 48033-2606 | 2007-05-17 |
| 1669448403 | Robert D Swift | Orthopaedic Surgery | 27207 Lahser Rd, Ste 108, Southfield, MI 48034-8470 | 2006-02-23 |
| 1497736771 | Thomas J Ditkoff | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2601 | 2005-11-14 |
| 1376167817 | Joseph Seta | Orthopaedic Surgery | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2020-06-01 |
| 1790223857 | Michigan Orthopaedic Surgeons, Pllc | Orthopaedic Surgery | 26025 Lahser Rd Fl 2, Southfield, MI 48033-2606 | 2017-02-08 |
| 1366815581 | Roberts Orthopedic Services Pllc | Orthopaedic Surgery | 27207 Lahser Rd, Suite 250, Southfield, MI 48034-2168 | 2015-11-10 |
| 1801020086 | James E. Beale, Jr., M.d., P.C. | Orthopaedic Surgery | 20240 W 12 Mile Rd, Suite 3, Southfield, MI 48076-2426 | 2009-05-04 |
| 1073769162 | Daniel Park | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2008-08-08 |
| 1740445170 | Jeffrey Walter Devitt Jr. | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2008-07-24 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on MICHIGAN ORTHOPAEDIC SURGEONS PLLC.
| 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.