Donald S Kitain DO PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

DK008753 Issued in MI

Legal business name

DONALD S KITAIN DO PC

Practice address

9640 Commerce Rd
Suite 106
Commerce TWP, MI 48382-4489

Phone

(248) 360-8825

Fax

(248) 360-8897

NPI assigned

Nov 16, 2006

Last updated

Jul 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald S Kitain, DONPI 1376525717

Title

PC

Phone

(248) 360-8825

Specialties & licenses 1

Addresses

Other identifiers 9

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald S Kitain, D.O.

  • Otolaryngology Physician
  • Commerce TWP, MI
  • NPI 1376525717
  Authorized official Same address or phone

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1285707133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD",
            "address_2": "SUITE 106",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824111",
            "telephone_number": "248-360-8825",
            "fax_number": "248-360-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD",
            "address_2": "SUITE 106",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824489",
            "telephone_number": "248-360-8825",
            "fax_number": "248-360-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD S KITAIN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "KITAIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PC",
        "authorized_official_telephone_number": "248-360-8825",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "DK008753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0456330364",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "DK008753",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE HEALTHNET",
            "identifier": "M014782",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4629785",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "01001880",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES HMO PPO",
            "identifier": "102401",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1876910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4498389002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0456330364",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Commerce TWP, MI
• Providers in Commerce TWP, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.