Organization Active NPI

Margaret a Lutsic DO PC

  • Obstetrics & Gynecology Physician
  • Trenton, MI
National Provider Identifier
1164524682
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101010871 Issued in MI
Legal business name
MARGARET A LUTSIC DO PC
Practice address
2865 West Rd
Trenton, MI 48183-2478
Phone
(734) 692-8880
Fax
(734) 692-8883
NPI assigned
Sep 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Margaret A Lutsic, DO
Title
Owner
Phone
(734) 692-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 5101010871 MI Primary

Addresses

Primary practice location

2865 West Rd
Trenton, MI 48183-2478

Mailing address

2865 West Rd
Trenton, MI 48183-2478
Phone (734) 692-8880

Other identifiers 1

IdentifierTypeStateIssuer
2974085MedicaidMI

National Provider Directory

National Provider Directory

Locations

2865 West Rd
Trenton, MI 48183
Phone (248) 475-4843

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164524682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832478",
            "telephone_number": "734-692-8880",
            "fax_number": "734-692-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832478",
            "telephone_number": "734-692-8880",
            "fax_number": "734-692-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET A LUTSIC DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUTSIC",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-692-8880",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101010871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2974085",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.