Michianna Surgical Associates PC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

4301078341 Issued in MI

Legal business name

MICHIANNA SURGICAL ASSOCIATES PC

Practice address

1904 E Chicago Rd
Sturgis, MI 49091-8522

Phone

(269) 651-7003

Fax

(269) 651-8790

NPI assigned

Nov 12, 2007

Last updated

May 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Godson G Kotia, MDNPI 1205825312

Title

Owner

Phone

(269) 651-7003

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Godson G Kotia, M.D.

  • Vascular Surgery Physician
  • Sturgis, MI
  • NPI 1205825312
  Authorized official Same address or phone

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1487834073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 E CHICAGO RD",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490918522",
            "telephone_number": "269-651-7003",
            "fax_number": "269-651-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 E CHICAGO RD",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490918522",
            "telephone_number": "269-651-7003",
            "fax_number": "269-651-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANNA SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "KOTIA",
        "authorized_official_first_name": "GODSON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-651-7003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301078341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Mercier
• Darren Lee Meyer, OD
• Michael L Sussex OD PC (Sussex Vision Center)
• Michiana Orthopaedics and Sports Medicine, Inc.
• Michiana Women's Center, PLLC
• Michigan Agency With Choice
• Michigan Em-I Medical Services, P.C.
• Midwest Optometry Group, PLLC
• Jeffrey Earl Millett, DDS
• Kerri Lou Millett, DDS

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Sturgis, MI
• Providers in Sturgis, MI by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.