SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP (NPI# 1417469453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417469453 |
| Entity Type | Organization |
| Organization Name | SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP |
| Other Organization Name | ORTHO TRAUMA ST JOES-AA |
| Practice Address |
5315 Elliot Dr Suite 304 Ypsilanti MI 48197 |
| Mailing Address |
7575 Grand River Rd Ste 114 Brighton MI 48114-9390 |
| Practice Telephone | 7347120655 |
| Practice Fax Number | 7347120611 |
| Mailing Telephone | 8108447785 |
| Mailing Fax Number | 8108447567 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |
| Authorized Official Name | MICHAEL GUSHO (RHM CFO SEMI) |
| Authorized Official Telephone | 7343980642 |
| Is Organization Subpart | Y |
| Parent Organization Name | SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ortho Trauma St Joes-AA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689986218 | Sjmhs Livingston Orthopedic Surgical Group | Orthopaedic Surgery | 7575 Grand River Rd, Suite 202, Brighton, MI 48114-9309 | 2010-07-12 |
| Street Address |
5315 ELLIOT DR SUITE 304 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396858940 | Julie Ann Torres | Occupational Therapist | 5315 Elliot Dr, Ste 202, Ypsilanti, MI 48197 | 2006-08-17 |
| 1699038463 | Jared Thomas | Orthopaedic Surgery | 5315 Elliot Dr, Suite 301, Ypsilanti, MI 48197 | 2012-06-18 |
| 1609142157 | Erik Oren White | Orthopaedic Surgery | 5315 Elliot Dr, Ste 202, Ypsilanti, MI 48197 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255704268 | Pelvis and Acetabulum Surgical Specialists, Pllc | Orthopaedic Surgery | 50297 Drakes Bay Dr, Novi, MI 48374-2544 | 2015-11-12 |
| 1689669178 | James Robert Weir | Orthopaedic Surgery | 800 Cooper Ave., Suite 12, Saginaw, MI 48602-5394 | 2005-09-12 |
| 1760481782 | Geoffrey A Sandman | Orthopaedic Surgery | 350 Lafayette Ave Se, 4th Floor, Grand Rapids, MI 49503-4656 | 2005-07-20 |
| 1215930490 | Family Orthopedic Associates P L C | Orthopaedic Surgery | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2005-05-23 |
| 1316468275 | Kelley Brossy Do PC | Orthopaedic Surgery | 21031 Michigan Ave, Dearborn, MI 48124-2339 | 2017-06-30 |
| 1336531730 | Ryan Bray | Orthopaedic Surgery | 311 Mack Ave Fl 5, Detroit, MI 48201-2466 | 2015-02-23 |
| 1669801411 | Moc Trauma, PC | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910-3495 | 2013-11-02 |
| 1356671051 | Gregory P. Nowinski Md PC | Orthopaedic Surgery | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2010-01-04 |
| 1457581183 | Orthopedic Trauma Specialist Pllc | Orthopaedic Surgery | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2009-07-15 |
| 1477729028 | Patrick J Wiater Md,pllc | Orthopaedic Surgery | 17877 W Fourteen Mile Rd, Beverly Hills, MI 48025 | 2008-05-05 |
| Find all providers with the same taxonomy | ||||
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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.