Dana M Busch DO PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

DANA M BUSCH DO PLLC

Practice address

5624 Highland Rd
Waterford, MI 48327-1926

Phone

(248) 674-4110

Fax

(248) 674-5409

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Dana M Busch, DONPI 1689762577

Title

Physician

Phone

(248) 674-4110

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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

• Dana M Busch, DO

  • Surgery Physician
  • Waterford, MI
  • NPI 1689762577
  Medicare reassignment Authorized official
• Steven Matthew Hubert, PAC

  • Surgical Physician Assistant
  • Waterford, MI
  • NPI 1124065131
  NPD
• Andrew John Ketner, D.O.

  • Orthopaedic Surgery Physician
  • Waterford, MI
  • NPI 1043574874
  NPD
• John Marshall Ketner, D.O.

  • Surgery Physician
  • Waterford, MI
  • NPI 1801834130
  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1447435706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271926",
            "telephone_number": "248-674-4110",
            "fax_number": "248-674-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271926",
            "telephone_number": "248-674-4110",
            "fax_number": "248-674-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA M BUSCH DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-674-4110",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "02563068000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri N Dale
• Valerie Paula Dale, R.N.
• Kathleen Marie Dallas, LPC
• Jenna Dalrymple
• Richard Barrie Dalrymple, NURSE PRACTITIONER
• Daniel & Max, LLC
• Jeffrey D. Danto, DPM
• Deborah Lynne Danton, MSW
• Daoud Dental PLLC
• Melissa Lynn Daul, OTR

• Surgery Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.