MICHIGAN ORTHOPAEDICS AND SPORTS MEDICINE, PC – NPI #1932174109
Orthopaedic Surgery

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

MICHIGAN ORTHOPAEDICS AND SPORTS MEDICINE, PC is an orthopaedic surgeon located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1932174109 to MICHIGAN ORTHOPAEDICS AND SPORTS MEDICINE, PC on February 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207XX0005X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Sports Medicine

The NPI profile was previously updated about 14 years ago on Oct 17, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHIGAN ORTHOPAEDICS AND SPORTS MEDICINE, PC below.

NPI Profile for
MICHIGAN ORTHOPAEDICS AND SPORTS MEDICINE, PC

NPI Number
1932174109
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MICHIGAN ORTHOPAEDICS AND SPORTS MEDICINE, PC
Primary location
2911 KNAPP ST NE
SUITE A
GRAND RAPIDS, MI 49525
Phone: (616) 451-9925 Fax: (616) 451-9896
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KYLE RANDALL
PRESIDENT
Phone: (616) 451-9925
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XX0005X
- Orthopaedic Surgery / Sports Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.