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COMMUNITY ORTHOPEDIC SURGERY PC NPI 1104867910


NPI Information

NPI: 1104867910
Provider Name: COMMUNITY ORTHOPEDIC SURGERY PC
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Organization

Specialization: Hand Surgery

Address:
5315 ELLIOTT DR
SUITE 202
YPSILANTI, MI
ZIP 48197
Phone: (734) 712-0600
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COMMUNITY ORTHOPEDIC SURGERY PC is a hand surgery orthopaedic surgery in Ypsilanti, MI. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. COMMUNITY ORTHOPEDIC SURGERY PC NPI is 1104867910. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5315 ELLIOTT DR
SUITE 202
YPSILANTI, MI
ZIP 48197-634
Phone: (734) 712-0600
Fax: (734) 712-0522

The provider's authorized official is Sandra D Bolton .
The authorized official title is Billing Manager and has the following contact phone number (734) 712-0635.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 6/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistNo
2207XS0106XOrthopaedic SurgeryHand SurgeryRN043612MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B45942MEDICARE UPINMICHIGAN
2B47165MEDICARE UPINMICHIGAN
3E88283MEDICARE UPINMICHIGAN
40P33620MEDICARE PINMICHIGAN
5540H115470OTHERMICHIGANBCBSM DME
6E25855MEDICARE UPINMICHIGAN
7F04727MEDICARE UPINMICHIGAN
8540D711950OTHERMICHIGANBCBSM DME
9H51124MEDICARE UPINMICHIGAN
100P33610MEDICARE PINMICHIGAN
11G13675MEDICARE UPINMICHIGAN
12A76100MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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