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SJMO BALD MOUNTAIN
NPI 1922276013
Family Medicine in Lake Orion, MI

Active since February 12, 2008
1375 S LAPEER RD, SUITE 160, LAKE ORION, MI 48360(248) 693-9040(248) 693-9007 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sjmo Bald Mountain NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SJMO BALD MOUNTAIN (NPI 1922276013) is a healthcare organization registered as a family medicine in Lake Orion, Michigan and active in the NPI registry since February 2008. The organization lists Jack Weiner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922276013
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSJMO BALD MOUNTAIN
Location Address1375 S LAPEER RD, SUITE 160Lake Orion, MI 48360-1421
Mailing Address1375 S Lapeer Rd, Suite 160Lake Orion, MI 48360-1421 · (248) 693-9040 · Fax (248) 693-9007
Phone(248) 693-9040
Fax(248) 693-9007
Organization SubpartYesParent: Trinity Health-michigan
Authorized OfficialJack WeinerCeo · (248) 858-3140
Enumeration DateFebruary 12, 2008
✔ NPI 1922276013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
1375 S LAPEER RD, Lake Orion, MI 48360
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHIGAN GULF TO BAY ANESTHESIOLOGY ASSOCIATES PSC
Anesthesiology
1375 S LAPEER RD, SUITE 109
LAKE ORION, MI 48360
Oakland County (248) 693-7954
SHELDON WEINTROB
Psychologist (Counseling)
1375 S LAPEER RD
LAKE ORION, MI 48360
Oakland County (248) 693-4000
MR. TIMOTHY DICKSON M.D.
Internal Medicine
1375 S LAPEER RD, STE 210
LAKE ORION, MI 48360
Oakland County (248) 693-5700
HAKAW, P.C.
Family Medicine
1375 S LAPEER RD, SUITE 106
LAKE ORION, MI 48360
Oakland County (248) 693-9040
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Rehabilitation)
1375 S LAPEER RD, STE 209
LAKE ORION, MI 48360
Oakland County (248) 814-0500
MRS. THERESA LARSEN M.D.
Internal Medicine
1375 S LAPEER RD, STE 210
LAKE ORION, MI 48360
Oakland County (248) 693-5700
EHSAN WALI
Pharmacist
1375 S LAPEER RD
LAKE ORION, MI 48360
Oakland County (248) 929-8174
BALD MOUNTAIN DIAGNOSTIC IMAGING
Clinic/Center (Radiology)
1375 S LAPEER RD, STE 104
LAKE ORION, MI 48360
Oakland County (248) 814-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sjmo Bald Mountain's NPI number?

The NPI number for Sjmo Bald Mountain is 1922276013. It was assigned to this organization in the NPPES registry on February 12, 2008.

Where is Sjmo Bald Mountain located?

Sjmo Bald Mountain is located at 1375 S Lapeer Rd Suite 160, Lake Orion, MI 48360. The listed phone number is (248) 693-9040.

What is Sjmo Bald Mountain's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Sjmo Bald Mountain was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.