Active NPI
Steven Michael Nitsch, M.D.
- Plastic and Reconstructive Surgery Physician
- Kalamazoo, MI
National Provider Identifier
1891780888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 4301039963
- Practice address
- 575 W Crosstown Pkwy
Kalamazoo, MI 49008-1908 - Phone
- (269) 343-5750
- Fax
- (269) 343-4936
- NPI assigned
- Sep 15, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 4301039963 | MI | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 4301039963 | MI | Primary |
Addresses
Primary practice location
575 W Crosstown Pkwy
Kalamazoo, MI 49008-1908
Mailing address
575 W Crosstown Pkwy
Kalamazoo, MI 49008-1908
Phone (269) 343-5750
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-30483 | Other | MI | PHYSICIANS HEALTH PLAN |
| 0390985 | Other | MI | BLUESHIELD OF MICHIGAN |
| 4167184 | Medicaid | MI | |
| 4319126 | Other | MI | AETNA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1891780888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 W CROSSTOWN PKWY",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081908",
"telephone_number": "269-343-5750",
"fax_number": "269-343-4936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 W CROSSTOWN PKWY",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081908",
"telephone_number": "269-343-5750",
"fax_number": "269-343-4936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITSCH",
"first_name": "STEVEN",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MI",
"license": "4301039963",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MI",
"license": "4301039963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "13-30483",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD OF MICHIGAN",
"identifier": "0390985",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4167184",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4319126",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.