SPORTS MEDICINE & JOINT CARE OF WEST MICHIGAN, PLC (NPI# 1942247176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942247176 |
| Entity Type | Organization |
| Organization Name | SPORTS MEDICINE & JOINT CARE OF WEST MICHIGAN, PLC |
| Other Organization Name | ORTHOPAEDIC ASSOCIATES OF KALAMAZOO |
| Practice Address |
7901 S 12th St Suite 101 Portage MI 49024-3831 |
| Practice Telephone | 2699780444 |
| Practice Fax Number | 2699780447 |
| Mailing Telephone | 2699780444 |
| Mailing Fax Number | 2699780447 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2015-06-25 |
| Authorized Official Name | MR. ROBERT S SCHAEFER (PHYSICIAN) |
| Authorized Official Telephone | 2699780444 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SPORTS MEDICINE & JOINT CARE OF WEST MICHIGAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | 4301061042 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Orthopaedic Associates of Kalamazoo | Doing Business As Name - Organization |
| Street Address |
7901 S 12TH ST SUITE 101 |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538593009 | Kimberly Carol Clark | Specialist | 7901 S 12th St, Suite 200, Portage, MI 49024-3831 | 2013-09-02 |
| 1669756912 | Kalamazoo Foot and Ankle Specialists, Plc | Podiatrist | 7901 S 12th St, Suite 101, Portage, MI 49024-3831 | 2011-10-05 |
| 1639464894 | Kelly Renee Campbell | Occupational Therapist | 7901 S 12th St, Suite #200, Portage, MI 49024-3831 | 2011-06-16 |
| 1144519133 | Jonathan Nykamp | Nurse Practitioner | 7901 S 12th St, Portage, MI 49024-3831 | 2011-03-31 |
| 1689818486 | Kimberly Clawson | Plastic Surgery | 7901 S 12th St, Portage, MI 49024 | 2009-04-23 |
| 1184886111 | Michael P Maskill | Podiatrist | 7901 S 12th St, Portage, MI 49024-3831 | 2008-07-01 |
| 1588756340 | Bryan Dale Visser | Physical Medicine & Rehabilitation | 7901 S 12th St, Suite #200, Portage, MI 49024-3831 | 2006-09-29 |
| 1609968247 | Alfonso Emanuel F Rodriguez | Physical Therapist | 7901 S 12th St, Suite #200, Portage, MI 49024-3831 | 2006-09-29 |
| 1487760427 | Great Lakes Cardiovascular Thoracic Surgery, Plc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7901 S 12th St, Suite 201, Portage, MI 49024-3831 | 2006-08-22 |
| 1356384275 | George Joseph Mack | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7901 S 12th St, Ste. 201, Portage, MI 49024-3831 | 2006-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| 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 |
|---|---|---|---|---|
| 1982880837 | Stewart F Taylor Jr Md | Orthopaedic Surgery | 2817 New Pinery Rd Ste 202, Portage, WI 53901-9257 | 2008-01-10 |
| 1710086434 | Stewart Ferguson Taylor Jr. | Orthopaedic Surgery | 108 E Cook St, Portage, WI 53901-0320 | 2006-09-21 |
| 1669472858 | James J Foskett | Orthopaedic Surgery | 2817 New Pinery Rd., Divine Savior Heathcare, Inc., Portage, WI 53901-0387 | 2005-07-28 |
| 1548651573 | Joseph Daniel Mueller | Orthopaedic Surgery | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2015-02-12 |
| 1770788267 | Douglas Randolph Arnold | Orthopaedic Surgery | 2817 New Pinery Rd, Portage, WI 53901-0387 | 2007-06-15 |
| 1962442590 | Frank L. Walter | Orthopaedic Surgery | 2817 New Pinery Road, Portage, WI 53901-0387 | 2006-06-08 |
| 1932195393 | Robert Scott Schaefer | Orthopaedic Surgery | 7901 S 12th St, Suite 101, Portage, MI 49024-3831 | 2005-09-21 |
| 1780684449 | Illiana Surgery and Medical Center, LLC | Orthopaedic Surgery | 6375 Us Highway 6, Ste 3, Portage, IN 46368-5111 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805365 | Conner D Ahlgren | Orthopaedic Surgery | 3535 W 13 Mile Rd Ste 742, Royal Oak, MI 48073-6770 | 2020-06-09 |
| 1063035319 | Alex Kane Miller | Orthopaedic Surgery | 3577 W 13 Mile Rd Ste 402, Royal Oak, MI 48073-6710 | 2020-05-21 |
| 1396374716 | Arjun Patel | Orthopaedic Surgery | Ascension Genesys, Gme Dept, One Genesys Pkwy, Grand Blanc, MI 48439-4843 | 2020-04-07 |
| 1346876711 | Timothy Curtis Mead | Orthopaedic Surgery | 4752 Lake Harbor Rd, Norton Shores, MI 49441-5236 | 2020-03-18 |
| 1932751112 | Mendelson Warren Pharmacy | Orthopaedic Surgery | 11900 E 12 Mile Rd Ste 105, Warren, MI 48093-3487 | 2019-07-09 |
| 1023678059 | Th Mg Ohio LLC | Orthopaedic Surgery | 1050 Wilshire Dr Ste 300, Troy, MI 48084-1526 | 2019-06-20 |
| 1609430321 | Mohamed Saad-waterworks, PC | Orthopaedic Surgery | 21031 Michigan Ave Fl 2, Dearborn, MI 48124-2339 | 2019-04-29 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| 1588228845 | Muhammad Talha Padela | Orthopaedic Surgery | 3990 John R St Ste 7b, Detroit, MI 48201 | 2019-04-23 |
| 1134681125 | Neuro Spine Institute Pllc | Orthopaedic Surgery | 29255 Northwestern Hwy Ste 202, Southfield, MI 48034-5741 | 2019-04-01 |
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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.