| Roy Frederick Small, DO | |
|
1000 Harrington St, Mount Clemens, MI 48043-2920 | |
| (586) 493-8142 | |
| (586) 493-3250 |
| Full Name | Roy Frederick Small |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 7 Years |
| Location | 1000 Harrington St, Mount Clemens, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447746318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 11021502A (Indiana) | Secondary |
| 207X00000X | Orthopaedic Surgery | 5151013215 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orthopaedic Hospital At Parkview North Llc | Fort wayne, IN | Hospital |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Parkview Noble Hospital | Kendallville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopaedics Northeast Pc | 9234024878 | 71 |
| Entity Name | Orthopaedics Northeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740268796 PECOS PAC ID: 9234024878 Enrollment ID: O20040405001087 |
| Mailing Address | Practice Location Address |
|---|---|
| Roy Frederick Small, DO 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 493-3727 | Roy Frederick Small, DO 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 493-8142 |
Nicholas Joseph Michel, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Baraa Ghassan Mussallam, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-790-9003 | |
Michael Dirkx, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Andrew Mccuen, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Phillip Anderson, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-790-9003 | |
Gino Michael Lombardo, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-790-9003 |