NPIMap

Organization Active NPI

Jospeh R Yacisen DO PC

Doing business as Mid Michigan Bone and Joint Center

  • Orthopaedic Surgery Physician
  • Clare, MI
National Provider Identifier
1154645901
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
JY012516 Issued in MI
Legal business name
JOSPEH R YACISEN DO PC
Doing business as
Mid Michigan Bone and Joint Center
Practice address
602 Beech St
Ste 1200
Clare, MI 48617-1466
Phone
(989) 802-5080
Fax
(989) 802-5090
NPI assigned
Mar 23, 2010
Last updated
May 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Dr. Joseph R Yacisen, D.O.NPI 1831203256
Title
President
Phone
(989) 466-2663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X JY012516 MI Primary

Addresses

Primary practice location

602 Beech St
Ste 1200
Clare, MI 48617-1466

Mailing address

315 E Warwick Dr
Ste B
Alma, MI 48801-1083
Phone (989) 466-2663

Other names 1

  • Mid Michigan Bone and Joint Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1154645901",
    "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": "602 BEECH ST",
            "address_2": "STE 1200",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171466",
            "telephone_number": "989-802-5080",
            "fax_number": "989-802-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSPEH R YACISEN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "YACISEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-466-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "JY012516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Michigan Bone and Joint Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clare, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.