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MENDELSON ORTHOPEDICS PC NPI 1720395205


NPI Information

NPI: 1720395205
Provider Name: MENDELSON ORTHOPEDICS PC

Doing Business As: MENDELSON KORNBLUM ORTHOPEDIC AND SPINE SURGEONS

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 23D0921757

Address:
11900 E 12 MILE RD
SUITE 110
WARREN, MI
ZIP 48093
Phone: (586) 261-1960
Get Directions

MENDELSON ORTHOPEDICS PC is an orthopaedic surgery in Warren, MI. The provider is 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. MENDELSON ORTHOPEDICS PC NPI is 1720395205. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mendelson Kornblum Orthopedic And Spine Surgeons.

The provider's business location address is:

11900 E 12 MILE RD
SUITE 110
WARREN, MI
ZIP 48093-400
Phone: (586) 261-1960
Fax: (586) 582-9805

The provider's authorized official is David Mendelson .
The authorized official title is Physician and has the following contact phone number (734) 542-0200.

The CLIA number assigned to this NPI record is 23D0921757 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2010 and was last updated on 11/21/2013.


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
1207X00000XOrthopaedic SurgeryJM054943MICHIGANNo
2207X00000XOrthopaedic SurgerySM072970MICHIGANNo
3207X00000XOrthopaedic SurgeryFZ074815MICHIGANNo
4207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineMK063387MICHIGANNo
5207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineAM065335MICHIGANNo
6208VP0000XPain MedicinePain Medicine5101014513MICHIGANNo
7207X00000XOrthopaedic SurgeryDM050325MICHIGANYes

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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