Organization Active NPI

Michael Yutzy

  • Family Medicine Physician
  • Massillon, OH
National Provider Identifier
1255525002
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-6707 Issued in OH
Legal business name
MICHAEL YUTZY
Practice address
3140 Lincoln Way E
Suite 200
Massillon, OH 44646-3700
Phone
(330) 837-9554
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. Michael Lee Yutzy, D.O.
Title
Physician
Phone
(330) 837-9554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 34-6707 OH Primary

Addresses

Primary practice location

3140 Lincoln Way E
Suite 200
Massillon, OH 44646-3700

Mailing address

3140 Lincoln Way E
Suite 200
Massillon, OH 44646-3700
Phone (330) 837-9554

Other identifiers 1

IdentifierTypeStateIssuer
2159266MedicaidOH

National Provider Directory

National Provider Directory

Locations

3140 Lincoln Way E
Ste 200
Massillon, OH 44646
Phone (330) 837-9554

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": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1255525002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 LINCOLN WAY E",
            "address_2": "SUITE 200",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463700",
            "telephone_number": "330-837-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 LINCOLN WAY E",
            "address_2": "SUITE 200",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463700",
            "telephone_number": "330-837-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL YUTZY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "YUTZY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-837-9554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-6707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2159266",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.