SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P
NPI 1104913094
Specialist in Saint Joseph, MI
NPI Status: Active since October 10, 2006
Contact Information
183 PEACE BLVD
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 428-3500
Fax: (269) 429-6429
- Organization
- Specialist
- Accepts Insurance
About SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P
This page provides the complete NPI Profile along with additional information for Southwest Michigan Center For Orthopaedic And Sports Medicine P, a provider established in Saint Joseph, Michigan operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1104913094 assigned on October 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Kenneth J Edwards M.d. (Managing Partner)
- NPI
- 1104913094
- Provider Name
- SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P
- Entity Type
- Organization
- Location Address
- 183 PEACE BLVD SAINT JOSEPH, MI 49085
- Location Phone
- (269) 428-3500
- Location Fax
- (269) 429-6429
- Mailing Address
- 183 PEACE BLVD SAINT JOSEPH, MI 49085
- Mailing Phone
- (269) 428-3500
- Mailing Fax
- (269) 429-6429
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-10-2006
- Last Update Date
- 04-21-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F24423 | MEDICARE UPIN (02) | MI | |
| 0N80920 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI |
Reviews for SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 9 | 1 | 3 | 0 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 18 | 1 | 6 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 8 + 1 + 6 + 0 + 1 + 8 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1104913094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598763351 | MRS. BETHANY LYNN HOFFMAN PT Individual | Physical Therapist (Orthopedic) | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (269) 408-1636 |
| 1295733053 | DAVID KIPP MS, PT, OCS Individual | Physical Therapist (Orthopedic) | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (269) 408-1636 |
| 1710966254 | DR. DANIEL G. SOHN M.D. Individual | Orthopaedic Surgery | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (269) 428-3500 |
| 1447239967 | DR. KENNETH J EDWARDS M.D. Individual | Orthopaedic Surgery | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (269) 428-3500 |
| 1417936931 | DR. JAMES R BURCZAK D.O. Individual | Orthopaedic Surgery | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (269) 428-3500 |
| 1013955020 | MR. BRIAN LARRY KIM ARNY P. T. Individual | Physical Therapist | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (269) 408-1636 |
| 1174833560 | REBECCA WALTER NP Individual | Nurse Practitioner | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (269) 428-3500 |
| 1376732016 | DR. JUSTIN TYLER SYBESMA M.D. Individual | Orthopaedic Surgery | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (269) 428-3500 |
| 1477756062 | DR. JOSEPH ADAM FARBER M.D. Individual | Orthopaedic Surgery | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (269) 428-3500 |
| 1396120242 | LORI BLIVEN Individual | Physical Therapist | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (269) 408-1636 |
| 1760541858 | EMPICARE, INC. Organization | Durable Medical Equipment & Medical Supplies | 183 PEACE BLVD SUITE A SAINT JOSEPH, MI 49085 (269) 429-5671 |
| 1538821079 | LAURA HONG Individual | Physical Therapist (Orthopedic) | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (269) 408-1636 |
| 1699403238 | JAMES DANIEL BOZYK II PA Individual | Physician Assistant | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (269) 428-3500 |
| 1558661157 | SPECTRUM HEALTH PRIMARY CARE PARTNERS Organization | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (616) 391-9814 |
| 1194914648 | NICOLE LYNN BURGESS PT Individual | Physical Therapist | 183 PEACE BLVD SAINT JOSEPH, MI 49085 (269) 408-1636 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104913094, enumerated in the NPI registry as an "organization" on October 10, 2006
The provider is located at 183 Peace Blvd Saint Joseph, Mi 49085 and the phone number is (269) 428-3500
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.