Michael J Moutsatson DO PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MM014511 Issued in MI

Legal business name

MICHAEL J MOUTSATSON DO PLLC

Practice address

2890 Health Parkway
Mount Pleasant, MI 48858-2961

Phone

(989) 953-9777

NPI assigned

Nov 27, 2007

Last updated

Oct 3, 2008By 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

Michael James Moutsatson, DONPI 1669583332

Title

Member

Phone

(989) 953-9777

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

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.

• Michael James Moutsatson, D.O.

  • Orthopaedic Surgery Physician
  • Mt Pleasant, MI
  • NPI 1669583332
  Medicare reassignment Care Compare group Authorized official
• Jenai Margret Cairnduff

  • Physician Assistant
  • Mt Pleasant, MI
  • NPI 1457138893
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1346422862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 HEALTH PARKWAY",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582961",
            "telephone_number": "989-953-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 HEALTH PARKWAY",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582961",
            "telephone_number": "989-953-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J MOUTSATSON DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "MOUTSATSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "989-953-9777",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "MM014511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5370114",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4775590",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Mertes
• Krystyn Messersmith
• Rachel Methner
• Kayla Meyer, OTRL
• Mi Primary Care, PLLC
• Marlene Michalowski, O.G.N.P.
• Michigan Healthcare Professionals, P.C.
• Michigan Radiology Consultants, PC
• Michigan Therapeutic Consultants PC
• Michigan Wound Care Specialists PLLC

• Orthopaedic Surgery Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.