SJMO BALD MOUNTAIN – Family Medicine Physician, NPI 1922276013

SJMO BALD MOUNTAIN is a healthcare provider. based in Lake orion, Michigan. specializing in Family Medicine Physician. The NPI Number for SJMO BALD MOUNTAIN is 1922276013

Main info

Organization
Name
SJMO BALD MOUNTAIN
NPI
1922276013
Phone
(248) 693-9040
Address
1375 S LAPEER RD
Authorized Official
JACK WEINER CEO
Enumeration Date
12 February 2008
Last Update Date
12 February 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:18State licenses:0Digital endpointsOther names

Provider Addresses for SJMO BALD MOUNTAIN

  • 1375 S LAPEER RD

    SUITE 160

    LAKE ORION, MI 483601421

    Phone: (248) 693-9040

    Fax: (248) 693-9007

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48360)

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Reviews

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Frequently asked questions

How is SJMO BALD MOUNTAIN identified in CMS data?
CMS-hosted NPPES data lists SJMO BALD MOUNTAIN with NPI 1922276013.
Can I rely on SJMO BALD MOUNTAIN being an active provider?
As of the registry snapshot, SJMO BALD MOUNTAIN is marked active.
What is SJMO BALD MOUNTAIN best known for clinically?
Directory data describes SJMO BALD MOUNTAIN with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is SJMO BALD MOUNTAIN based?
SJMO BALD MOUNTAIN is tied to Lake Orion, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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