Organization Active NPI

Klaus P. Kutschke, M.D., P.C.

  • Surgery Physician
  • Manistee, MI
National Provider Identifier
1891883716
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301051076 Issued in MI
Legal business name
KLAUS P. KUTSCHKE, M.D., P.C.
Practice address
315 Oakgrove St
Suite 1
Manistee, MI 49660-1121
Phone
(231) 723-7766
Fax
(231) 723-5540
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Klaus P. Kutschke, M.D.NPI 1598746349
Title
M.D.
Phone
(231) 723-7766

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 4301051076 MI Primary

Addresses

Primary practice location

315 Oakgrove St
Suite 1
Manistee, MI 49660-1121

Mailing address

PO Box 523
Jenison, MI 49429-0523
Phone (616) 457-4919

Other identifiers 1

IdentifierTypeStateIssuer
3077322MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1891883716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494290523",
            "telephone_number": "616-457-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 OAKGROVE ST",
            "address_2": "SUITE 1",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601121",
            "telephone_number": "231-723-7766",
            "fax_number": "231-723-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAUS P. KUTSCHKE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "KUTSCHKE",
        "authorized_official_first_name": "KLAUS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "231-723-7766",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301051076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077322",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.