Joseph R Yacisen DO PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

5101012516 Issued in MI

Legal business name

JOSEPH R YACISEN DO PC

Practice address

315 E Warwick Dr
Suite B
Alma, MI 48801-1083

Phone

(989) 466-2663

Fax

(989) 466-4748

NPI assigned

Nov 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Barbara Yacisen

Title

Operations Manager

Phone

(989) 466-2663

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erik Stephen Harp, PA-C

  • Physician Assistant
  • Owosso, MI
  • NPI 1164856928
  Medicare reassignment NPD
• Joseph Richard Yacisen, D.O.

  • Orthopaedic Surgery Physician
  • Alma, MI
  • NPI 1831203256
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1043389240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E WARWICK DR",
            "address_2": "STE B",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011083",
            "telephone_number": "989-466-2663",
            "fax_number": "989-466-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E WARWICK DR",
            "address_2": "SUITE B",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011083",
            "telephone_number": "989-466-2663",
            "fax_number": "989-466-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R YACISEN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "YACISEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "989-466-2663",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101012516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4926111/11",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "JY012516",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Johnson, LPC
• Morgan Mabel Johnson
• Victoria Renee Johnston
• Jon J Steimel, Acsw, LLC
• Margo Jones
• Hailie Lynn Jurmu
• Joie Nikole Kade
• Natalie Kaiko, MD
• Matthew Brandon Kanitz, P.A
• Amelia Hope Kasper, BSW, QIDP, QMHP

• Orthopaedic Surgery Physician in Alma, MI
• Providers in Alma, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.