Mayo Mitsuya PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MAYO MITSUYA PLLC

Practice address

1375 N Main St
Lapeer, MI 48446-1350

Phone

(810) 667-7350

NPI assigned

Aug 28, 2019

Last updated

Aug 28, 2019By 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

May Mitsuya, DO

Title

Owner/Physician

Phone

(248) 943-3113

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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.

• Mayo Mitsuya, DO

  • Surgery Physician
  • Lapeer, MI
  • NPI 1164788386
  Medicare reassignment Care Compare group NPD
• Eric Paul Rose, PA-C

  • Physician Assistant
  • Kalamazoo, MI
  • NPI 1083123012
  Medicare reassignment Care Compare group
• Mohamad Arja, MD

  • Primary Care Clinic/Center
  • Lapeer, MI
  • NPI 1548299464

  Multi-Specialty

  NPD
• Sharon Renee McRorie, NP-C

  • Primary Care Nurse Practitioner
  • Lapeer, MI
  • NPI 1508396235
  NPD
• Jessica Nolan, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Montrose, MI
  • NPI 1043785165
  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1649828146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KERCHEVAL AVE STE 210",
            "city": "GROSSE PT FRM",
            "state": "MI",
            "postal_code": "482363798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461350",
            "telephone_number": "810-667-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO MITSUYA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "MITSUYA",
        "authorized_official_first_name": "MAY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "248-943-3113",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Mattiuzzo
• Charles May II
• Gela May, OT
• Nichole May
• Stacy Lyn May, MA, LLPC
• Olessya V Mazurs, NP-C
• McAlpine Chiropractic Clinic PC
• Frederic J McAlpine, D.C.
• Elizabeth McCallister, LLMSW
• McCarty Dental PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.