Organization Active NPI

Joseph R Yacisen DO PC

  • Orthopaedic Surgery Physician
  • Mt Pleasant, MI
National Provider Identifier
1245554195
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
JY012516 Issued in MI
Legal business name
JOSEPH R YACISEN DO PC
Practice address
1750 E Bellows St
Ste F
Mt Pleasant, MI 48858-3872
Phone
(989) 772-7788
Fax
(989) 772-9767
NPI assigned
Mar 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Dr. Joseph R Yacisen, D.O.NPI 1831203256
Title
President
Phone
(989) 466-2663

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X JY012516 MI Primary

Addresses

Primary practice location

1750 E Bellows St
Ste F
Mt Pleasant, MI 48858-3872

Mailing address

315 E Warwick Dr
Ste B
Alma, MI 48801-1083
Phone (989) 466-2663

Other identifiers 2

IdentifierTypeStateIssuer
JY012516OtherMILICENSE
4926111/11MedicaidMI

Other names 1

  • Mid Michigan Bone and Joint Center Doing business as

National Provider Directory

National Provider Directory

Locations

135 Lake St
Roscommon, MI 48653
Phone (989) 275-0725

Practitioners & affiliated clinicians

Practitioners 1

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": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1245554195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E WARWICK DR",
            "address_2": "STE B",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011083",
            "telephone_number": "989-466-2663",
            "fax_number": "989-466-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E BELLOWS ST",
            "address_2": "STE F",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583872",
            "telephone_number": "989-772-7788",
            "fax_number": "989-772-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R YACISEN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "YACISEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-466-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "JY012516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "JY012516",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4926111/11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Michigan Bone and Joint Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.