Active NPI
Michael Thomas Dotsey, M.D.
- Surgery Physician
- Clearfield, PA
National Provider Identifier
1366427635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD017716E
- Practice address
- 807 Turnpike Ave
Suite 120
Clearfield, PA 16830-1238 - Phone
- (814) 765-8590
- Fax
- (814) 765-5058
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD017716E | PA | Primary |
Addresses
Primary practice location
807 Turnpike Ave
Suite 120
Clearfield, PA 16830-1238
Mailing address
807 Turnpike Ave
Suite 120
Clearfield, PA 16830-1238
Phone (814) 765-8590
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1415664 | Other | PA | BLUE CROSS/BLUE SHIELD |
| 18579 | Other | PA | GEISINGER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210114002857 | PA | Order and Referring Only - General Surgery | 0547398687 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD017716E | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366427635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 TURNPIKE AVE",
"address_2": "SUITE 120",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168301238",
"telephone_number": "814-765-8590",
"fax_number": "814-765-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 TURNPIKE AVE",
"address_2": "SUITE 120",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168301238",
"telephone_number": "814-765-8590",
"fax_number": "814-765-5058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSEY",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD017716E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "1415664",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "18579",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.