Active NPI
Amy Elizabeth Milito, D.O.
- Family Medicine Physician
- Norton Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101021262
- Practice address
- 6401 Prairie St Ste 2600
Norton Shores, MI 49444-7842 - Phone
- (231) 672-7900
- Fax
- (231) 727-7931
- NPI assigned
- Jun 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5101021262 | MI | |
| Family Medicine Physician | 207Q00000X | 5101021262 | MI | Primary |
Addresses
Primary practice location
6401 Prairie St Ste 2600
Norton Shores, MI 49444-7842
Mailing address
PO Box 1848
Muskegon, MI 49443-1848
Phone (231) 672-7900
Other names 1
- Amy Elizabeth Gorsky
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6401 Prairie St
Suite 2600
Norton Shores, MI 49444-7842
Phone (231) 672-7900
Hospital & facility affiliations
- Trinity Health at Home - Muskegon
- Harbor Hospice
- Trinity Health Muskegon Hospital
- Trinity Health Grand Haven Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101021262 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Physician Network | Family Medicine | Current | Accepting new patients |
| Mercy Physician Network | Family Medicine | Current | Accepting new patients |
Locations
14 N 3rd Ave
Fruitport, MI 49415
Phone (231) 672-2230
3443 Farr Rd
Fruitport, MI 49415
Phone (231) 672-2900
1675 Leahy St
Ste 315A
Muskegon, MI 49442
Phone (231) 672-7800
2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333
Interoperability endpoints
- https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Muskegon, MI
- NPI 1023056744
-
- Family Medicine Physician
- Fruitport, MI
- NPI 1639502701
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Muskegon, MI
- NPI 1740283787
-
- Home Health Agency
- Muskegon, MI
- NPI 1063483972
-
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
- General Acute Care Hospital
- Grand Haven, MI
- NPI 1942379284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1871907097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1848",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431848",
"telephone_number": "231-672-7900",
"fax_number": "231-727-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 PRAIRIE ST STE 2600",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494447842",
"telephone_number": "231-672-7900",
"fax_number": "231-727-7931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILITO",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-16",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5101021262",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101021262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "GORSKY",
"middle_name": "ELIZABETH",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norton Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.