| Detroit Orthopedics & Sports Medicine Plc | |
|
27207 Lahser Rd Ste 250 Southfield MI 48034-2168 | |
| (248) 595-8518 | |
| Not Available |
| Full Name | Detroit Orthopedics & Sports Medicine Plc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 27207 Lahser Rd Ste 250, Southfield, Michigan |
| Authorized Official Name and Position | Jonathan Nzoma (CEO) |
| Authorized Official Contact | 3133196858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Orthopedics & Sports Medicine Plc Po Box 145 Novi MI 48376-0145 Ph: (313) 319-6858 | Detroit Orthopedics & Sports Medicine Plc 27207 Lahser Rd Ste 250 Southfield MI 48034-2168 Ph: (248) 595-8518 |
| NPI Number | 1679293757 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 03/08/2024 |
| Medicare PECOS PAC ID | 9133504921 |
|---|---|
| Medicare Enrollment ID | O20220914003129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679293757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
| Provider Name | Jonathan K Nzoma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417257551 PECOS PAC ID: 3173741048 Enrollment ID: I20140908000259 |
Med-share, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26222 Telegraph Rd, Suite 100, Southfield, MI 48033 Phone: 248-827-7200 Fax: 248-827-2641 | |
Maecenas Health Systems Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26677 W 12 Mile Rd, Southfield, MI 48034 Phone: 248-358-6995 | |
Ark Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-924-1429 Fax: 248-419-2431 | |
Laina Feinstein Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29829 Telegraph Rd, Suite 107, Southfield, MI 48034 Phone: 248-304-0786 Fax: 248-354-8559 | |
Magnum Managment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 8 Mile Rd, Suite # 5, Southfield, MI 48075 Phone: 248-424-9749 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26185 Greenfield Rd, Southfield, MI 48076 Phone: 248-569-2040 Fax: 248-569-2048 | |
Forever Foy Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18161 W 13 Mile Rd Ste C2, Southfield, MI 48076 Phone: 248-731-7414 Fax: 248-234-6337 |