Active NPI
Donald P. Cousineau DO PC
- General Practice Physician
- Gaylord, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- DC006878
- Legal business name
- DONALD P. COUSINEAU DO PC
- Practice address
- 994 N Center Ave
Gaylord, MI 49735-9375 - Phone
- (989) 732-7843
- Fax
- (989) 731-4513
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Paul Cousineau, DO
- Title
- Physician
- Phone
- (989) 732-7843
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | DC006878 | MI | Primary |
Addresses
Primary practice location
994 N Center Ave
Gaylord, MI 49735-9375
Mailing address
994 N Center Ave
Gaylord, MI 49735-9375
Phone (989) 732-7843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1089781 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0381664 | Donald P Cousineau DO | Certificate of waiver | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
994 N Center Ave
Gaylord, MI 49735
Phone (989) 732-3450
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Gaylord, MI
- NPI 1841485133
-
- Family Nurse Practitioner
- Gaylord, MI
- NPI 1063169480
-
- Physician Assistant
- Gaylord, MI
- NPI 1124370325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269561600000",
"number": "1386645851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "994 N CENTER AVE",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497359375",
"telephone_number": "989-732-7843",
"fax_number": "989-731-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "994 N CENTER AVE",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497359375",
"telephone_number": "989-732-7843",
"fax_number": "989-731-4513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD P. COUSINEAU DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2010-03-26",
"status": "A",
"authorized_official_last_name": "COUSINEAU",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "989-732-7843",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "MI",
"license": "DC006878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1089781",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.