MICHIGAN ORTHOPEDIC & SPINAL SURGERY PLLC (NPI# 1972776813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972776813 |
| Entity Type | Organization |
| Organization Name | MICHIGAN ORTHOPEDIC & SPINAL SURGERY PLLC |
| Practice Address |
12150 30 Mile Rd Suite 105 Washington Twp MI 48095 |
| Practice Telephone | 5863367333 |
| Practice Fax Number | 5863367332 |
| Mailing Telephone | 5863367333 |
| Mailing Fax Number | 5863367332 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2014-06-23 |
| Authorized Official Name | DR. KENNETH A SCOTT (PRESIDENT) |
| Authorized Official Telephone | 5863367333 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 5101013195 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
12150 30 MILE RD SUITE 105 |
| City | WASHINGTON TWP |
| State | MI |
| Zip Code | 48095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942833041 | Tabitha Dobrei Luca | Nurse Practitioner | 12150 30 Mile Rd, Washington Twp, MI 48095-2035 | 2020-02-17 |
| 1033600747 | Amanda Tarlton | Occupational Therapist | 12150 30 Mile Rd, Washington Twp, MI 48095-2035 | 2018-05-29 |
| 1154610335 | Farrah Hafeez | Family Medicine | 12150 30 Mile Rd, Suite 201, Washington Twp, MI 48095-2035 | 2011-03-28 |
| 1023234200 | Janis Elizabeth Romanik | Family Medicine | 12150 30 Mile Rd, Suite 201, Washington Twp, MI 48095-2035 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043748569 | Shree Ohm Inc | Pharmacy | 64580 Van Dyke Rd Ste D, Washington, MI 48095 | 2017-05-28 |
| 1366763914 | Jacob Paul Witer | Dentist | 65893 Van Dyke Rd, Washington Twp, MI 48095 | 2010-06-17 |
| 1619117405 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 63033 Van Dyke Road, Washington, MI 48095 | 2009-03-06 |
| 1134262140 | Romeo Sleep Center, LLC | Physiological Laboratory | 67150 Van Dyke, #150, Washington, MI 48095 | 2007-02-15 |
| 1982776738 | Romeo Urgent Care, PC | Clinic/Center | 67150 Vandyke Rd, Washington, MI 48095 | 2006-11-15 |
| 1245311398 | Orchardview Physicians, Pllc | Preventive Medicine | 12250 Thirty Mile Rd, Washington Township, MI 48095 | 2006-10-17 |
| 1548285109 | Bormans Inc | Pharmacy | 64660 Van Dyke, Romeo, MI 48095 | 2006-07-13 |
| 1104860022 | Michael Lucien Lefebvre | Dentist | 64580 Van Dyke, Suite B, Washington, MI 48095 | 2006-06-15 |
| 1992785828 | Kulpa & Kulpa Dds | Dentist | 64845 Vandyke, Washington, MI 48095 | 2006-01-18 |
| 1992805386 | James David Kulpa | Dentist | 64845 Vandyke, Kulpa & Kulpa Dds, Washington, MI 48095 | 2006-09-25 |
| Find all providers in zip 48095 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WASHINGTON TWP |
| Zip Code | 48095 |
Please comment or provide details below to improve the information on MICHIGAN ORTHOPEDIC & SPINAL SURGERY PLLC.
| 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.