Active NPI
Michael Scott Kluska, DO
- Plastic Surgery Physician
- Commerce, GA
National Provider Identifier
1184621757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 82763
- Practice address
- 30931 Highway 441 S
Commerce, GA 30529 - Phone
- (706) 335-3555
- Fax
- (706) 336-8122
- NPI assigned
- Jun 28, 2005
- Last updated
- May 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | OS010619L | PA | |
| Plastic Surgery Physician | 208200000X | 82763 | GA | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 82763 | GA |
Addresses
Primary practice location
30931 Highway 441 S
Commerce, GA 30529
Mailing address
30931 Highway 441 S
Commerce, GA 30529
Phone (706) 335-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82763 | GA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbrier Clinic Surgery Center | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Surgical Specialists of the Alleghenies | Past | Accepting new patients |
Locations
40823 Midland Trl E
Wht Sphr Spgs, WV 24986
Phone (304) 536-4870
Interoperability endpoints
- mkluska@direct.excelahealth.org
- mkluska@directaddress.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- White Sulphur Springs, WV
- NPI 1043258783
-
- Ambulatory Surgical Clinic/Center
- White Sulphur Springs, WV
- NPI 1174713382
-
- Specialist
- Ronceverte, WV
- NPI 1861522526
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1184621757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30931 HIGHWAY 441 S",
"city": "COMMERCE",
"state": "GA",
"postal_code": "30529",
"telephone_number": "706-335-3555",
"fax_number": "706-336-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30931 HIGHWAY 441 S",
"city": "COMMERCE",
"state": "GA",
"postal_code": "30529",
"telephone_number": "706-335-3555",
"fax_number": "706-336-8122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUSKA",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "PA",
"license": "OS010619L",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "GA",
"license": "82763",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "GA",
"license": "82763",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce, GA
- Jackson County Health Department
- JM Family Enterprises, Inc
- Kaleem Ahmed MD PC
- Douglas Tucker Kemp, PHARM.D., RPH
- Kim & Nam LLC (Family Smiles of Commerce)
- Le-Nguyen, D.M.D., P.C.
- Leslie M. Pitts, DMD, Pediatric Dentistry, PC
- Patrick Alan Lockett, HAS
- Amber Leeanne Lowery, FNP-C
- Jason Thomas Lue Yen, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.