Marc A Gusse, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2301010838 Issued in MI

Practice address

3845 Iris Dr
Waterford Township, MI 48329-1171

Phone

(517) 410-0187

NPI assigned

Aug 15, 2019

Last updated

Aug 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Recovered ChiropracticGroup PAC ID 9638500804, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Recovered Chiropractic

  • Clinic/Center
  • Waterford, MI
  • NPI 1417593963
  Medicare reassignment Care Compare group Authorized official
• Michigan Chiropractic Specialists of Waterford, P.C.

  • Chiropractor
  • Waterford, MI
  • NPI 1740336767
  NPD (past)

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1215583273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 IRIS DR",
            "city": "WATERFORD TOWNSHIP",
            "state": "MI",
            "postal_code": "483291171",
            "telephone_number": "517-410-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 IRIS DR",
            "city": "WATERFORD TOWNSHIP",
            "state": "MI",
            "postal_code": "483291171",
            "telephone_number": "517-410-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSSE",
        "first_name": "MARC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MI",
            "license": "2301010838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Waterford",
            "affiliation": "N",
            "address_1": "3845 Iris Dr",
            "city": "Waterford Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483291171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Helaina Barker, PHARM. D.
• Rebecca Hamilton Brown
• Sara Cook
• Matthew Edgar
• Erin Sundt DDS PLLC (Waterford Dental Arts)
• Bethany Hill, FNP-BC
• Jayakar Reddy Kanmantha Reddy, MD
• Daniel Lazar, DPM
• Daniela Ivana Naumovski, DDS
• Rishi Amrish Patel, DMD

• Sports Physician Chiropractor in Waterford Township, MI
• Providers in Waterford Township, MI by specialty
• Sports Physician Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.