Active NPI
Joseph R Yacisen DO PC
- Orthopaedic Surgery Physician
- Mt Pleasant, MI
National Provider Identifier
1245554195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- JY012516
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JY012516 | Other | MI | LICENSE |
| 4926111/11 | Medicaid | MI |
Other names 1
- Mid Michigan Bone and Joint Center
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Alma, MI
- NPI 1831203256
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.