MENDELSON ORTHOPEDICS PC (NPI# 1720395205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720395205 |
| Entity Type | Organization |
| Organization Name | MENDELSON ORTHOPEDICS PC |
| Other Organization Name | MENDELSON KORNBLUM ORTHOPEDIC AND SPINE SURGEONS |
| Practice Address |
11900 E 12 Mile Rd Suite 110 Warren MI 48093-3400 |
| Practice Telephone | 5862611960 |
| Practice Fax Number | 5865829805 |
| Mailing Telephone | 5862611960 |
| Mailing Fax Number | 5865829805 |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2013-11-21 |
| Authorized Official Name | DAVID MENDELSON (PHYSICIAN) |
| Authorized Official Telephone | 7345420200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MENDELSON ORTHOPEDICS PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | JM054943 | MI | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | SM072970 | MI | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | FZ074815 | MI | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MK063387 | MI | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
AM065335 | MI | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
5101014513 | MI | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | DM050325 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| mendelson kornblum orthopedic and spine surgeons | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023325438 | Mendelson Orthopedics PC | Physical Therapist | 27472 Schoenherr, Suite 130, Warren, MI 48088-8901 | 2010-09-07 |
| 1720153463 | Mendelson Orthopedics PC | Orthopaedic Surgery | 36222 Five Mile Road, Livonia, MI 48154 | 2006-11-21 |
| 1700239415 | Mendelson Orthopedics PC | Pain Medicine | 30205 Schoenherr Rd, Suite B, Warren, MI 48088-6800 | 2016-07-18 |
| 1881087963 | Mendelson Orthopedics PC | Durable Medical Equipment & Medical Supplies | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2015-03-12 |
| 1124336326 | Mendelson Orthopedics PC | Durable Medical Equipment & Medical Supplies | 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 | 2010-09-22 |
| 1770751943 | Mendelson Orthopedics PC | Durable Medical Equipment & Medical Supplies | 36622 Five Mile Rd, Livonia, MI 48154-1900 | 2008-02-11 |
| Street Address |
11900 E 12 MILE RD SUITE 110 |
| City | WARREN |
| State | MI |
| Zip Code | 48093-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720276 | Stuart R Gildenberg | Dermatology | 11900 E 12 Mile Rd, Ste 201, Warren, MI 48093-3490 | 2005-06-16 |
| 1902459159 | Tammy Jean Cass | Registered Nurse | 11900 E 12 Mile Rd, Warren, MI 48093-3400 | 2019-07-17 |
| 1437715026 | Dalia Hasso | Student in an Organized Health Care Education/Training Program | 11900 E 12 Mile Rd, Warren, MI 48093-3400 | 2019-05-19 |
| 1174070577 | Hayley Foster | Physician Assistant | 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 | 2016-09-02 |
| 1063872877 | Andrew Cox | Physician Assistant | 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 | 2016-03-07 |
| 1194115402 | Lingareddy Devireddy Md PC | Clinic/Center | 11900 E 12 Mile Rd, Suite 103, Warren, MI 48093-3400 | 2015-01-26 |
| 1538561469 | Erica Williams | Physician Assistant | 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 | 2014-09-23 |
| 1578994737 | Mendelson Orthopedics | Orthopaedic Surgery | 11900 E 12 Mile Rd, Suite 105, Warren, MI 48093-3400 | 2013-12-12 |
| 1548542020 | Brittany J Miller | Physician Assistant | 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093-3400 | 2011-09-12 |
| 1285916825 | Theresa Jeanette Richardson | Physician Assistant | 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093-3400 | 2011-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| 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.