Associated Orthopedists of Detroit PC
NPI 1083686083ActiveOrganization· Orthopaedic Surgery· St Clair Shores, MI
Orthopaedic Surgery in St Clair Shores, Michigan, registered in NPPES in February 2006. The authorized official on file is Jamie Johnson, Credentialing Manager. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1083686083 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 3, 2006 |
| Last updated in NPPES | May 22, 2025 |
| Certified by provider | May 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
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