Michael Kutka MD Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

MICHAEL KUTKA MD INC

Practice address

62 Brown St Ste 206
Haverhill, MA 01830-6790

Phone

(978) 521-7600

Fax

(978) 521-7600

NPI assigned

Sep 11, 2017

Organization subpart

Yes

Parent organization

MICHAEL KUTKA, MD, LLCAs reported in NPPES

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

Authorized official

Name

Michael Kutka, MDNPI 1275530172

Title

Physician/Owner

Phone

(978) 521-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Kutka MD Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Part of

Michael Kutka MD LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Michael Kutka, MD, LLC

  • Plastic Surgery Physician
  • Haverhill, MA
  • NPI 1548531551
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael F Kutka, MD

  • Plastic Surgery Physician
  • Newburyport, MA
  • NPI 1275530172
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1407375454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BROWN ST STE 206",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 BROWN ST STE 206",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306790",
            "telephone_number": "978-521-7600",
            "fax_number": "978-521-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL KUTKA MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL KUTKA, MD, LLC",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "KUTKA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "978-521-7600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110034689A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Kutka MD Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merrimack Valley Information Systems, Inc.
• Alicia F Merry
• Desirae Messina
• Morgan Messina
• Mark Stephen Messinger, D.C.
• Michael Kutka, MD, LLC
• Joann Christene Michaud, LMHC - MASSACHUSETTS
• Liana Michaud, DO
• Mill City Surgical Associates LLC
• Esther Ann Miller, LICSW

• Plastic Surgery Physician in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Plastic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.