Active NPI
Michael J. Kitto, D.O., P.C.
- Emergency Medicine Physician
- Mount Clemens, MI
National Provider Identifier
1962574889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- MICHAEL J. KITTO, D.O., P.C.
- Practice address
- 1000 Harrington St
Mount Clemens, MI 48043-2920 - Phone
- (586) 493-8101
- NPI assigned
- Nov 15, 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
- Michael Jon Kitto, DO
- Title
- Owner
- Phone
- (586) 532-7397
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1000 Harrington St
Mount Clemens, MI 48043-2920
Mailing address
51194 Romeo Plank Rd
#422
Macomb, MI 48042-4111
Phone (866) 898-7139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0155003555 | Other | BCBS |
National Provider Directory
National Provider DirectoryLocations
51194 Romeo Plank Rd
Macomb, MI 48042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210896000000",
"number": "1962574889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51194 ROMEO PLANK RD",
"address_2": "#422",
"city": "MACOMB",
"state": "MI",
"postal_code": "480424111",
"telephone_number": "866-898-7139",
"fax_number": "616-975-9824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HARRINGTON ST",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432920",
"telephone_number": "586-493-8101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL J. KITTO, D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2008-05-16",
"status": "A",
"authorized_official_last_name": "KITTO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-532-7397",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0155003555",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.