Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Michigan Orthopaedics and Sports Medicine, PC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1932174109

Michigan Orthopaedics and Sports Medicine, PC provides Sports Medicine (Orthopaedic Surgery) Physician services in Grand Rapids, Michigan. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2911 Knapp St NE Ste A
Grand Rapids, MI 49525 Not confirmed with CMS for 13 years — call before visiting
Phone: (616) 451-9925
Fax: (616) 451-9896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1932174109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Randall — President · (616) 451-9925
NPI enumeratedFebruary 21, 2006
Last updated in NPPESOctober 17, 2012
Mailing address2911 Knapp St Ne, Suite A, Grand Rapids, MI 49525

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