Active NPI
John Curtis Masserant, MD
- Obstetrics & Gynecology Physician
- Monroe, MI
National Provider Identifier
1669454146
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Aug 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- JM076801
- Practice address
- 1046 N Monroe St
Monroe, MI 48162-3113 - Phone
- (734) 457-9034
- Fax
- (734) 457-9037
- NPI assigned
- Nov 18, 2005
- Last updated
- Jul 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | JM076801 | MI | Primary |
Addresses
Primary practice location
1046 N Monroe St
Monroe, MI 48162-3113
Mailing address
1046 N Monroe St
Monroe, MI 48162-3113
Phone (734) 457-9034
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1605801782 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1605801782 | Other | MI | BLUE CARE NETWORK |
| 11522 | Other | MI | HEALTHPLAN OF MICHIGAN |
| 03738 | Other | MI | PARAMOUNT |
| 104587830 | Medicaid | MI | |
| 7240060 | Other | MI | AETNA |
| P00236355 | Other | MI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JM076801 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain & Spine Institute PC | Past | Accepting new patients | |
| Associates in Womens Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Pain Medicine Physician
- Dearborn, MI
- NPI 1043463672
-
- Specialist
- Monroe, MI
- NPI 1689891970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1669454146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481623113",
"telephone_number": "734-457-9034",
"fax_number": "734-457-9037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481623113",
"telephone_number": "734-457-9034",
"fax_number": "734-457-9037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSERANT",
"first_name": "JOHN",
"middle_name": "CURTIS",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "JM076801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1605801782",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "1605801782",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLAN OF MICHIGAN",
"identifier": "11522",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "03738",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104587830",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7240060",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00236355",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.