MICHIGAN ADVANCED ORTHOPEDICS (NPI# 1619333531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619333531 |
| Entity Type | Organization |
| Organization Name | MICHIGAN ADVANCED ORTHOPEDICS |
| Practice Address |
21230 Dequindre Rd Warren MI 48091-2279 |
| Practice Telephone | 2483302126 |
| Mailing Telephone | 2483302126 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |
| Authorized Official Name | EDDIE F. EL-YUSSIF (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2483302126 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 5101015546 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
21230 DEQUINDRE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48091-2279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962402354 | Southeast Michigan Surgical Hospital, LLC | General Acute Care Hospital | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2005-07-28 |
| 1548895550 | Insight Urgent Care PC | Clinic/Center | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2020-03-10 |
| 1477049260 | Alexander Icardi | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-07-05 |
| 1487140521 | William Alexander Carter | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-07-02 |
| 1073008371 | Firras Garada | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-06-28 |
| 1801305198 | Tricia Ann Haener | Registered Nurse | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-09-29 |
| 1588180509 | Joshua Bennett | Dietitian, Registered | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-22 |
| 1801311030 | Susan Marie Vendemelio | Pharmacist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-09 |
| 1629593868 | Patrick Brien Butters | Pharmacist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-09 |
| 1477074904 | Seyed Sadegh Arab | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| 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 |
|---|---|---|---|---|
| 1932751112 | Mendelson Warren Pharmacy | Orthopaedic Surgery | 11900 E 12 Mile Rd Ste 105, Warren, MI 48093-3487 | 2019-07-09 |
| 1285176628 | Associated Orthopaedics | Orthopaedic Surgery | 4 Rose Ct, Warren, NJ 07059-5779 | 2016-11-16 |
| 1255784187 | Youngstown Orthopaedic Associates Ltd | Orthopaedic Surgery | 1695 Niles Cortland Rd Ne, Warren, OH 44484-1165 | 2016-07-15 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| 1740439728 | Donald J Holtzman | Orthopaedic Surgery | 12 William Penn Rd, Warren, NJ 07059-5047 | 2008-09-15 |
| 1851550958 | Paul Franklin Ignatius | Orthopaedic Surgery | 505 Market St, Warren, PA 16365-1765 | 2008-06-03 |
| 1194990960 | Richard Steven Siegel | Orthopaedic Surgery | 17 Betsy Ross Dr, Warren, NJ 07059-3000 | 2008-04-23 |
| 1184828451 | Michigan Surgery Specialists, P.C. | Orthopaedic Surgery | 11012 E 13 Mile Rd Ste 112, Warren, MI 48093-2546 | 2007-06-12 |
| 1972705077 | Ross Sherban | Orthopaedic Surgery | 13355 E Ten Mile Rd, Warren, MI 48089 | 2007-06-01 |
| 1336358787 | Nikola Marko Dobrasevic | Orthopaedic Surgery | 30250 Blancke Dr, Warren, MI 48093 | 2007-05-22 |
| Find all providers in WARREN | ||||
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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.