ORTHOPEDIC INSTITUTE OF MICHIGAN PLLC (NPI# 1962690941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962690941 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC INSTITUTE OF MICHIGAN PLLC |
| Practice Address |
37669 Pembroke Ave Livonia MI 48152-1050 |
| Practice Telephone | 7344640400 |
| Practice Fax Number | 7344640404 |
| Mailing Telephone | 7344640400 |
| Mailing Fax Number | 7344640404 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | MICHAEL BRAGER (PRESIDENT) |
| Authorized Official Telephone | 7344640400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 54-0-H2-2486-0 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DME PROVIDER NUMBER | 54-0-H2-2486-0 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841217627 | Orthopedic Institute of Michigan Pllc | Orthopaedic Surgery | 14555 Levan Rd, Suite 116, Livonia, MI 48154-5083 | 2006-07-16 |
| Street Address |
37669 PEMBROKE AVE |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346217627 | Ala S. Shuker | Internal Medicine | 37669 Pembroke Ave, Livonia, MI 48152-1050 | 2006-03-04 |
| 1407248537 | Candace Atisha | Physician Assistant | 37669 Pembroke Ave, Livonia, MI 48152-1050 | 2015-02-26 |
| 1700133808 | Tracy L Olson | Nurse Practitioner | 37669 Pembroke Ave, Livonia, MI 48152-1050 | 2012-08-07 |
| 1629307715 | Infinity Primary Care Pllc | Internal Medicine | 37669 Pembroke Ave, Livonia, MI 48152-1050 | 2009-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295681 | Kirsten Skidmore | Specialist | 5924 Cleary Rd, Livonia, NY 14487-9726 | 2020-11-06 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1134637275 | Residential Visiting Physician Services Pllc. | Specialist | 34020 7 Mile Rd Ste 113, Livonia, MI 48152-3093 | 2018-01-10 |
| 1528594280 | Ciara Beard | Specialist | 18298 Middlebelt Rd, Livonia, MI 48152-5007 | 2017-05-02 |
| 1194185439 | Warren C Mangulabnan | Specialist | 28720 Bayberry Ct W, Livonia, MI 48154-3867 | 2016-02-29 |
| 1457788101 | Denise Strauss | Specialist | 15875 Middlebelt Rd Ste 200, Livonia, MI 48154-3885 | 2013-09-26 |
| 1811295082 | Michael James Cendoma | Specialist | 30 Commercial Ave, Suite 4, Livonia, NY 14487 | 2011-03-11 |
| 1568619104 | Jaime Ramirez | Specialist | 16833 Fairway St, Livonia, MI 48154-2115 | 2008-08-26 |
| 1285895912 | Renaissance Age Management Institute,llc | Specialist | 29150 Buckingham St, Suite 6, Livonia, MI 48154-7502 | 2008-06-25 |
| 1437353109 | Barbara K Salter | Specialist | 20 Summers St, Livonia, NY 14487-9711 | 2007-06-14 |
| Find all providers in LIVONIA | ||||
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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.