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

Q: What is Michigan Orthopaedics And Sports Medicine, PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

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: August 09, 2026.

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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

Phone(616) 451-9925

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

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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.

DR. KYLE ROBERT RANDALL MD

Orthopaedic Surgery

2911 KNAPP ST NE, SUITE A
GRAND RAPIDS, MI 49525

Kent County (616) 451-9925

KARA JO SCHIPPER

Physical Therapist

2911 KNAPP ST NE, SUITE C
GRAND RAPIDS, MI 49525

Kent County (616) 975-9078

ACHIEVE PHYSICAL THERAPY AND SPORTS REHAB, LLC

Physical Therapist

2911 KNAPP ST NE, SUITE C
GRAND RAPIDS, MI 49525

Kent County (616) 975-9078

MR. JEROME DANIEL BRODERICK P.T.

Physical Therapist

2911 KNAPP ST NE, SUITE C
GRAND RAPIDS, MI 49525

Kent County (616) 975-9078

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 Michigan Orthopaedics And Sports Medicine, PC's NPI number?

The NPI number for Michigan Orthopaedics And Sports Medicine, PC is 1932174109. It was assigned to this organization in the NPPES registry on February 21, 2006.

Where is Michigan Orthopaedics And Sports Medicine, PC located?

Michigan Orthopaedics And Sports Medicine, PC is located at 2911 Knapp St NE Suite A, Grand Rapids, MI 49525. The listed phone number is (616) 451-9925.

What is Michigan Orthopaedics And Sports Medicine, PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Michigan Orthopaedics And Sports Medicine, PC was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.