Individual provider Active NPI

William Clifford Huettner, MD

  • Surgery of the Hand (Surgery) Physician
  • East Lansing, MI
National Provider Identifier
1285805895
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
4301076376 Issued in MI
Practice address
2111 Merritt Rd
Suite 101
East Lansing, MI 48823-6916
Phone
(517) 332-4263
Fax
(517) 332-1132
NPI assigned
Mar 23, 2008
Last updated
Jul 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 4301076376 MI
Surgery Physician 208600000X 4301076376 MI
Surgery of the Hand (Surgery) Physician 2086S0105X 4301076376 MI Primary

Addresses

Primary practice location

2111 Merritt Rd
Suite 101
East Lansing, MI 48823-6916

Mailing address

2111 Merritt Rd
Suite 101
East Lansing, MI 48823-6916
Phone (517) 332-4263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122001066 MI Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 8628264249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Plastic and Reconstructive Surgery
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katranji Reconstructive Surgery Institute, PLLCGroup PAC ID 7719052414, 6 clinicians

Practice addresses (Care Compare)

2111 Merritt Rd
Suite 202
East Lansing, MI 48823-6916
Phone (517) 332-4263

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301076376MIMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Investments CurrentSince Apr 3, 2017 Accepting new patients
Katranji Reconstructive Surgery Institute, PLLC Surgery of the Hand CurrentSince Aug 1, 2010 Accepting new patients

Locations

2111 Merritt Rd
Ste 101
East Lansing, MI 48823
Phone (517) 332-3232

2111 Merritt Rd
Ste 202
East Lansing, MI 48823
Phone (517) 332-4263

1100 W Saginaw St
Ste 2
Lansing, MI 48915
Phone (517) 246-3136

110 W Higham St
Saint Johns, MI 48879
Phone (989) 224-0646

901 S Oakland St
Ste 101
Saint Johns, MI 48879
Phone (517) 332-4263

1565 W Big Beaver Rd
Bldg F
Troy, MI 48084
Phone (248) 649-1975

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1285805895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 MERRITT RD",
            "address_2": "SUITE 101",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236916",
            "telephone_number": "517-332-4263",
            "fax_number": "517-332-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 MERRITT RD",
            "address_2": "SUITE 101",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236916",
            "telephone_number": "517-332-4263",
            "fax_number": "517-332-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUETTNER",
        "first_name": "WILLIAM",
        "middle_name": "CLIFFORD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-23",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301076376",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301076376",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "MI",
            "license": "4301076376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.