Jospeh R Yacisen DO PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

JY012516 Issued in MI

Legal business name

JOSPEH R YACISEN DO PC

Practice address

602 Beech St
Ste 1200
Clare, MI 48617-1466

Phone

(989) 802-5080

Fax

(989) 802-5090

NPI assigned

Mar 23, 2010

Organization subpart

No

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.

Title

President

Phone

(989) 466-2663

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mid Michigan Bone and Joint Center Doing business as

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": [
        {
            "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": [
        {
            "organization_name": "Mid Michigan Bone and Joint Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Haines DDS PLLC
• Martin D Jennings, DO
• Amanda Jensen
• John a Finn OD PC
• Joel Jordan, D.C.
• Gary Kade
• Kurt James Keppner, D.C.
• Abid R Khan, MD
• Nabil Ahmad Khan, M.D.
• Kimberly Kidd, LLMSW

• Orthopaedic Surgery Physician in Clare, MI
• Providers in Clare, 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 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.