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

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, MD

Title

Owner

Phone

(269) 651-7003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104342471",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darren Mercier
• Darren Lee Meyer, OD
• Michael L Sussex OD PC
• 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.