Active NPI
Amitava Ghosh, M.D.
- Surgery Physician
- Mt Pleasant, MI
National Provider Identifier
1881694586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- AG044192
- Practice address
- 401 S Crapo St
Mt Pleasant, MI 48858-2998 - Phone
- (989) 773-1700
- Fax
- (989) 772-7472
- NPI assigned
- Jul 26, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | AG044192 | MI | Primary |
| Vascular Surgery Physician | 2086S0129X | AG044192 | MI |
Addresses
Primary practice location
401 S Crapo St
Mt Pleasant, MI 48858-2998
Mailing address
401 S Crapo St
Mt Pleasant, MI 48858-2998
Phone (989) 773-1700
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG044192 | MI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1881694586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S CRAPO ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488582998",
"telephone_number": "989-773-1700",
"fax_number": "989-772-7472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S CRAPO ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488582998",
"telephone_number": "989-773-1700",
"fax_number": "989-772-7472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOSH",
"first_name": "AMITAVA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "AG044192",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "AG044192",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.