MI STREET ORTHOPEDIC SPECIALISTS PC (NPI# 1497860795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497860795 |
| Entity Type | Organization |
| Organization Name | MI STREET ORTHOPEDIC SPECIALISTS PC |
| Other Organization Name | BEREZA & LOVELL ORTHOPEDICS, P.C. |
| Practice Address |
1300 Michigan St Ne Suite 200 Grand Rapids MI 49503-2026 |
| Practice Telephone | 6167749515 |
| Practice Fax Number | 6167747116 |
| Mailing Telephone | 6167749515 |
| Mailing Fax Number | 6167747116 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-01-09 |
| Authorized Official Name | LORI E LUMLEY (PRACTICE MANAGER) |
| Authorized Official Telephone | 6167749515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bereza & Lovell Orthopedics, P.C. | Other Name - Individual/Organization |
| Street Address |
1300 MICHIGAN ST NE SUITE 200 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205882008 | Richard Feenstra | Internal Medicine | 1300 Michigan St Ne, S-103, Grand Rapids, MI 49503-2026 | 2006-05-25 |
| 1528570389 | Rebecca Rose Armstrong | Specialist/Technologist | 1300 Michigan St Ne, Grand Rapids, MI 49503-2026 | 2017-11-01 |
| 1780939520 | Lauren Julia Douma | Physician Assistant | 1300 Michigan St Ne, Suite 202, Grand Rapids, MI 49503-2029 | 2012-07-18 |
| 1851601991 | Spectrum Health Primary Care Partners | Internal Medicine | 1300 Michigan St Ne, Grand Rapids, MI 49503-2026 | 2010-10-07 |
| 1376877274 | Auspria S Wade | Physician Assistant | 1300 Michigan St Ne, Suite 202, Grand Rapids, MI 49503-2026 | 2009-09-24 |
| 1306018684 | Michigan Medical Patient Care | Pediatrics | 1300 Michigan St Ne, Grand Rapids, MI 49503-2026 | 2008-03-27 |
| 1558476804 | Richard A Bereza | Orthopaedic Surgery | 1300 Michigan St Ne, Suite 200, Grand Rapids, MI 49503-2026 | 2006-08-20 |
| 1003855735 | Deborah Longley | Internal Medicine | 1300 Michigan St Ne, S-103, Grand Rapids, MI 49503-2026 | 2006-06-06 |
| 1740229327 | Robert Mallen | Internal Medicine | 1300 Michigan St Ne, S-103, Grand Rapids, MI 49503-2026 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
|---|---|---|---|---|
| 1053773507 | Charles Trevor Crellin | Orthopaedic Surgery | 221 Michigan St Ne Fl 4, Grand Rapids, MI 49503-2543 | 2016-03-23 |
| 1366799124 | Marci Anne Bartholomew | Orthopaedic Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2012-08-11 |
| 1568723484 | Gable Bert Moffitt | Orthopaedic Surgery | 221 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2543 | 2012-06-07 |
| 1114287893 | Larry W Fitzsimmons | Orthopaedic Surgery | 7660 Pine Park Dr Se, Grand Rapids, MI 49546-9130 | 2012-05-29 |
| 1073809935 | Katherine J Sage | Orthopaedic Surgery | 1195 Wilson Ave Nw Ste 200, Grand Rapids, MI 49534-6405 | 2011-06-20 |
| 1831418151 | Rohan Ashok Habbu | Orthopaedic Surgery | 1422 Dewberry Pl Ne, Apt 16, Grand Rapids, MI 49505-6918 | 2010-05-26 |
| 1750543674 | Mary A Herzog | Orthopaedic Surgery | 300 Lafayette Ave Se # 3400, Grand Rapids, MI 49503-4600 | 2008-07-01 |
| 1184883605 | Melissa Marie Peters | Orthopaedic Surgery | 145 Michigan St Ne Ste 5500, Grand Rapids, MI 49503-2565 | 2008-06-09 |
| 1871782136 | Casey R Bartman Md PC | Orthopaedic Surgery | 751 Kenmoor Ave, Grand Rapids, MI 49546 | 2007-10-23 |
| 1871629857 | Thomas G Schwaderer | Orthopaedic Surgery | 2558 Alger Se, Grand Rapids, MI 49546-5602 | 2007-02-26 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on MI STREET ORTHOPEDIC SPECIALISTS PC.
| 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.