MICHIGAN ORTHOPAEDICS AND SPORTS MEDICINE, PC
NPI 1932174109
Orthopaedic Surgery - Sports Medicine in Grand Rapids, MI

Active since February 21, 2006
2911 KNAPP ST NE, SUITE A, GRAND RAPIDS, MI 49525(616) 451-9925(616) 451-9896 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michigan Orthopaedics And Sports Medicine, Pc NPPES

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

MICHIGAN ORTHOPAEDICS AND SPORTS MEDICINE, PC (NPI 1932174109) is a healthcare organization registered as a sports medicine in Grand Rapids, Michigan and active in the NPI registry since February 2006. The organization lists Kyle Robert Randall, President, as its authorized official.

NPPES Registry Identity

NPI1932174109
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameMICHIGAN ORTHOPAEDICS AND SPORTS MEDICINE, PC
Location Address2911 KNAPP ST NE, SUITE AGrand Rapids, MI 49525
Mailing Address2911 Knapp St Ne, Suite AGrand Rapids, MI 49525 · (616) 451-9925 · Fax (616) 328-5380
Fax(616) 451-9896
Organization SubpartNo
Authorized OfficialKyle Robert RandallPresident · (616) 451-9925
Enumeration DateFebruary 21, 2006
Last NPPES UpdateOctober 17, 2012
NPI 1932174109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition

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.

2911 KNAPP ST NE, Grand Rapids, MI 49525

Other Identifiers 2

Medicare NSC6187090001MI
Medicare PIN0N33690MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Physical Therapist
2911 KNAPP ST NE, SUITE C
GRAND RAPIDS, MI 49525
Physical Therapist
2911 KNAPP ST NE, SUITE C
GRAND RAPIDS, MI 49525
Physical Therapist
2911 KNAPP ST NE, SUITE C
GRAND RAPIDS, MI 49525
Orthopaedic Surgery
2911 KNAPP ST NE, SUITE A
GRAND RAPIDS, MI 49525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932174109, enumerated as an "organization" on February 21, 2006.

The provider is located at 2911 KNAPP ST NE SUITE A GRAND RAPIDS, MI 49525 and the phone number is (616) 451-9925.

Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.