Organization Active NPI

Cutting Edge Vasectomy, PLLC

  • Clinic/Center
  • Okemos, MI
National Provider Identifier
1699597252
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CUTTING EDGE VASECTOMY, PLLC
Practice address
2289 Sower Blvd Ste B
Okemos, MI 48864-3297
Phone
(248) 657-4223
NPI assigned
Oct 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Samantha Tuczynski, MDNPI 1770077943
Title
Owner
Phone
(248) 657-4223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2289 Sower Blvd Ste B
Okemos, MI 48864-3297

Mailing address

1310 Hazelnut Rd Apt 54
Dewitt, MI 48820-9257

Other practice location 1

3501 Lake Eastbrook Blvd SE
Grand Rapids, MI 49546-5938
Phone (248) 657-4223

Other practice location 2

455 S Livernois Rd Ste C22
Rochester Hills, MI 48307-2583
Phone (248) 657-4223

National Provider Directory

National Provider Directory

Locations

2289 Sower Blvd
Ste B
Okemos, MI 48864
Phone (248) 657-4223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1699597252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 HAZELNUT RD APT 54",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2289 SOWER BLVD STE B",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643297",
            "telephone_number": "248-657-4223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Lake Eastbrook Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495465938",
            "country_code": "US",
            "telephone_number": "248-657-4223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 S Livernois Rd Ste C22",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483072583",
            "country_code": "US",
            "telephone_number": "248-657-4223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CUTTING EDGE VASECTOMY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "TUCZYNSKI",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-657-4223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.