NPI 1174808992 · live from the CMS NPI Registry
Bay Street Orthopaedics PLLC
Orthopaedic Surgery in Petoskey, MI. National Provider Identifier 1174808992, active.
NPI record
| NPI | 1174808992 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 4048 Cedar Bluff Dr, Suite 1, Petoskey, MI 49770 |
| Practice phone | 231-347-5155 |
| Enumerated | October 12, 2011 |
| Last updated | January 3, 2013 |
| Authorized official | Mark Mcmurray, Direct Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Hand Surgery | 207XS0106X | — |
| Orthopaedic Surgery, Foot and Ankle Surgery | 207XX0004X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Orthopaedic Surgery primary | 207X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.