OrganizationActive
Sjmo Bald Mountain
NPI 1922276013 · Family Medicine Physician · Lake Orion, MI
Provider details
- NPI number
- 1922276013
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Trinity Health-Michigan
- Organization subpart
- Yes
- Authorized official
- Jack Weiner, Ceo(248) 858-3140
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1375 S Lapeer Rd
Suite 160
Lake Orion, MI 48360-1421
Phone: (248) 693-9040
Fax: (248) 693-9007
Street-level locationGet directions
Mailing address
1375 S Lapeer Rd
Lake Orion, MI 48360-1421
Registry dates
- Enumerated
- 2008-02-12
- Last updated
- 2008-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.