Individual provider Active NPI

Michael Thomas Dotsey, M.D.

  • Surgery Physician
  • Clearfield, PA
National Provider Identifier
1366427635
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD017716E Issued in PA
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1415664OtherPABLUE CROSS/BLUE SHIELD
18579OtherPAGEISINGER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210114002857 PA Order and Referring Only - General SurgeryPractitioner - General Surgery 0547398687

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD017716EPAMDSurgery 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

Verify at the official NPI Registry.