DR. JUSTIN TYLER SYBESMA (NPI# 1376732016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376732016 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN TYLER SYBESMA |
| Credential | M.D. |
| 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 | 2007-10-18 |
| Last Update Date | 2012-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 4301083923 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1376732016 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 2003901922 | 01 |
| 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 |
| 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 |
| 1104913094 | Southwest Michigan Center for Orthopaedic and Sports Medicine P | Specialist | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2006-10-10 |
| 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 | 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 |
|---|---|---|---|---|
| 1225188873 | Brian Russell Duncan | Orthopaedic Surgery | 3107 Frederick Ave Ste B, Suite B, Saint Joseph, MO 64506-3082 | 2007-01-12 |
| 1013906635 | St Joseph Orthopedic Associates Inc | Orthopaedic Surgery | 1335 Village Dr, Saint Joseph, MO 64506-2457 | 2005-10-17 |
| 1154323913 | Corey A Trease | Orthopaedic Surgery | 3107 Frederick Ave, Suite B, Saint Joseph, MO 64506-2911 | 2005-08-11 |
| 1316280944 | Judd Michael Smith | Orthopaedic Surgery | 3107 Frederick Ave Ste B, Saint Joseph, MO 64506-3082 | 2013-04-02 |
| 1477756062 | Joseph Adam Farber | Orthopaedic Surgery | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2007-06-09 |
| 1710966254 | Daniel G. Sohn | Orthopaedic Surgery | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2006-01-12 |
| 1447239967 | Kenneth J Edwards | Orthopaedic Surgery | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2006-01-12 |
| 1417936931 | James R Burczak | Orthopaedic Surgery | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2006-01-12 |
| 1093704611 | William Gondring | Orthopaedic Surgery | 1335 Village Dr, Saint Joseph, MO 64506-2457 | 2005-10-17 |
| 1316949043 | Cyrus Daniel Smith | Orthopaedic Surgery | 3107 Frederick Ave, Suite B, Saint Joseph, MO 64506-2911 | 2005-08-12 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on DR. JUSTIN TYLER SYBESMA.
| 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.