Active NPI
Matthew Brandon Kanitz, P.A
- Physician Assistant
- Alma, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007517
- Practice address
- 300 E Warwick Dr
Alma, MI 48801-1014 - Phone
- (989) 466-3275
- NPI assigned
- Sep 9, 2015
- Last updated
- Sep 9, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601007517 | MI | Primary |
Addresses
Primary practice location
300 E Warwick Dr
Alma, MI 48801-1014
Mailing address
715 Cobb St
Cadillac, MI 49601-2567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
916 Myrtle St
Sturgis, MI 49091-2326
Phone (269) 651-7824
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601007517 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Clare | Physician Assistant | Current | Accepting new patients |
| Mymichigan Medical Center Clare | Current | Accepting new patients | |
| Sturgis Hospital, Inc. | Current | Accepting new patients | |
| Mymichigan Medical Center Alma | Current | Accepting new patients | |
| West Branch Regional Medical Center | Current | Accepting new patients | |
| Mymichigan Medical Center West Branch | Current | Accepting new patients | |
| Mymichigan Medical Center Alma | Current | Accepting new patients | |
| Sturgis Hospital, Inc. | Current | Accepting new patients | |
| Mymichigan Medical Center West Branch | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | Accepting new patients |
Locations
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957
1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000
703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824
916 Myrtle St
Ste 105
Sturgis, MI 49091
2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660
Organizations & group practices 14
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.
-
dba Sturgis Pediatrics and Women's Center
- Rural Health Clinic/Center
- Sturgis, MI
- NPI 1255668893
-
- Emergency Medicine Physician
- Alma, MI
- NPI 1568914422
-
- General Practice Physician
- Clare, MI
- NPI 1134394026
Physician Assistant
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
-
- Emergency Medicine Physician
- Alpena, MI
- NPI 1508332792
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
-
- Family Medicine Physician
- Alma, MI
- NPI 1265596126
-
- Internal Medicine Physician
- Alpena, MI
- NPI 1942302302
-
- Psychiatric Hospital Unit
- Alpena, MI
- NPI 1952514218
-
dba MidMichigan Urgent Care - Clare
- Urgent Care Clinic/Center
- Clare, MI
- NPI 1225081862
-
dba MidMichigan Medical Center- West Branch
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
-
- Internal Medicine Physician
- West Branch, MI
- NPI 1730674540
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alma, MI
- NPI 1023097771
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1215305099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 COBB ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E WARWICK DR",
"city": "ALMA",
"state": "MI",
"postal_code": "488011014",
"telephone_number": "989-466-3275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANITZ",
"first_name": "MATTHEW",
"middle_name": "BRANDON",
"credential": "P.A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.