Active NPI
Klaus P. Kutschke, M.D., P.C.
- Surgery Physician
- Manistee, MI
National Provider Identifier
1891883716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301051076
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Klaus P. Kutschke, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077322 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Manistee, MI
- NPI 1598746349
-
- Orthopaedic Hand Surgery Physician
- Southfield, MI
- NPI 1447241716
-
- Occupational Therapist
- Southfield, MI
- NPI 1912114232
-
- Surgery Physician
- Martinsville, VA
- NPI 1013149707
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.