Michael Ioerger, MD, PHD, MPH, CSCS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301510702 Issued in MI

Practice address

42611 Northville Place Dr Apt 1006
Northville, MI 48167-3176

Phone

(614) 398-1091

Fax

(614) 639-8115

NPI assigned

Jun 14, 2022

Last updated

Apr 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1497485320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S WING ST UNIT 117",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671809",
            "telephone_number": "614-398-1091",
            "fax_number": "614-639-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42611 NORTHVILLE PLACE DR APT 1006",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481673176",
            "telephone_number": "614-398-1091",
            "fax_number": "614-639-8115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3951 Bosswood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432306362",
            "country_code": "US",
            "telephone_number": "614-398-1091",
            "fax_number": "614-639-8115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IOERGER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, MPH, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301510702",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.149610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Northville, MI
• Providers in Northville, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.