NPIMap

Organization Active NPI

Michael a Kia DO PC

  • Surgery Physician
  • Flint, MI
National Provider Identifier
1184820441
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MICHAEL A KIA DO PC
Practice address
3500 Calkins Rd Ste a
Flint, MI 48532-3500
Phone
(810) 275-0661
Fax
(810) 820-6195
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Michael A Kia, DONPI 1477590842
Title
Owner Physician
Phone
(810) 275-0661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3500 Calkins Rd Ste a
Flint, MI 48532-3500

Mailing address

3500 Calkins Rd Ste a
Flint, MI 48532-3500
Phone (810) 275-0661

Other names 2

  • Michael A Kia DO PC Doing business as
  • Michael A. Kia DO PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070912000487 MI Part B Supplier - Clinic/Group Practice 5991898538 Receives reassigned benefits from 6 practitioners
Practice locations: Lapeer, MI; Grand Blanc, MI; Flint, MI; Clarkston, MI

National Provider Directory

National Provider Directory

Locations

G3200 Beecher Rd
Ste Mbi
Flint, MI 48532
Phone (810) 342-5470

501 S Ballenger Hwy
Ste A
Flint, MI 48532
Phone (810) 758-2044

G4007 W Court St
Ste E
Flint, MI 48532
Phone (810) 732-0908

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1184820441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 CALKINS RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323500",
            "telephone_number": "810-275-0661",
            "fax_number": "810-820-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CALKINS RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323500",
            "telephone_number": "810-275-0661",
            "fax_number": "810-820-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A KIA DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "KIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "810-275-0661",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael A Kia DO PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michael A. Kia DO PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.