JEFFREY H. DECLAIRE M.D., P.C. (NPI# 1942387998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942387998 |
| Entity Type | Organization |
| Organization Name | JEFFREY H. DECLAIRE M.D., P.C. |
| Other Organization Name | DECLAIRE LAMACCHIA ORTHOPAEDIC INSTITUTE |
| Practice Address |
1135 W University Dr Ste 450 Rochester MI 48307-1871 |
| Mailing Address |
Po Box 9042 Belfast ME 04915-9042 |
| Practice Telephone | 2486502400 |
| Practice Fax Number | 2486504596 |
| Mailing Telephone | 2486502400 |
| Mailing Fax Number | 2486504596 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-03-26 |
| Authorized Official Name | JOHN ERNEST LAMACCHIA (VICE PRESIDENT) |
| Authorized Official Telephone | 2486502400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 0F34848 | 01 |
| MI | 1942387998 | 05 | |
| MI | BLUE CROSS BLUE SHIELD (PHYSICAL THERAPY) | 0H70719 | 01 |
| Other Name | Type Code |
|---|---|
| DeClaire LaMacchia Orthopaedic Institute | Doing Business As Name - Organization |
| Street Address |
1135 W UNIVERSITY DR STE 450 |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669465761 | John Ernest Lamacchia | Orthopaedic Surgery | 1135 W University Dr Ste 450, Rochester, MI 48307-1871 | 2005-08-24 |
| 1962973487 | Natalie Peterson | Physician Assistant | 1135 W University Dr Ste 450, Rochester, MI 48307-1871 | 2018-12-10 |
| 1023350493 | Robert G. Dekker | Orthopaedic Surgery | 1135 W University Dr Ste 450, Rochester, MI 48307-1871 | 2013-03-22 |
| 1548529639 | Nathan Evin Marshall | Orthopaedic Surgery | 1135 W University Dr Ste 450, Rochester, MI 48307 | 2012-05-09 |
| 1932466034 | Ashley Louise Delzer | Physician Assistant | 1135 W University Dr Ste 450, Rochester, MI 48307-1871 | 2012-04-13 |
| 1174763429 | Angela Marie Slessor | Physical Therapist | 1135 W University Dr Ste 450, Rochester, MI 48307-1871 | 2009-02-26 |
| 1790738607 | Ewa Pluszczyk | Physical Therapist | 1135 W University Dr Ste 450, Rochester, MI 48307-1871 | 2006-05-19 |
| 1184696130 | Shaunnah E Anderson | Physician Assistant | 1135 W University Dr Ste 450, Rochester, MI 48307-1871 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| 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 |
|---|---|---|---|---|
| 1962982538 | University Orthopaedic Associates of Rochester | Orthopaedic Surgery | 10 S Pointe Lndg Ste 100, Rochester, NY 14606-3481 | 2018-08-14 |
| 1568713584 | A. Ronald Rook | Orthopaedic Surgery | 2660 Fairway Ct, Rochester, MI 48306-4953 | 2012-10-01 |
| 1245588680 | Louis C Okafor | Orthopaedic Surgery | 41 Stewart St, Apartment A, Rochester, NY 14620-2822 | 2012-08-15 |
| 1417249541 | Sandeep Paul Soin | Orthopaedic Surgery | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2011-05-08 |
| 1588956601 | Michael C M Yip | Orthopaedic Surgery | The Linden Oaks Medical Campus, 30 Hagen Drive, Suite 22, Rochester, NY 14625-2658 | 2011-05-08 |
| 1083903371 | Matthew C Bessette | Orthopaedic Surgery | 20 Hagen Dr Ste 110, Rochester, NY 14625-2665 | 2011-04-07 |
| 1467606939 | Sherwin Goldman | Orthopaedic Surgery | 715 Woodhaven Ct Ne, Rochester, MN 55906-6936 | 2008-11-11 |
| 1679722888 | John Steven Papakonstantinou | Orthopaedic Surgery | 1135 W. University Dr, Suite 100, Rochester, MI 48307 | 2008-09-11 |
| 1750549143 | Susan M Mcdowell | Orthopaedic Surgery | 601 Elmwood Ave, Box 665, Rochester, NY 14642 | 2008-06-02 |
| 1407045602 | Nicholas S. Papakonstantinou | Orthopaedic Surgery | 1135 W. University Dr., Rochester, MI 48307 | 2007-10-24 |
| Find all providers in ROCHESTER | ||||
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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.