MAYO MITSUYA PLLC (NPI# 1649828146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649828146 |
| Entity Type | Organization |
| Organization Name | MAYO MITSUYA PLLC |
| Practice Address |
1375 N Main St Lapeer MI 48446-1350 |
| Mailing Address |
130 Kercheval Ave Ste 210 Grosse Pt Frm MI 48236-3798 |
| Practice Telephone | 8106677350 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | MAY MITSUYA (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2489433113 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1375 N MAIN ST |
| City | LAPEER |
| State | MI |
| Zip Code | 48446-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839909 | Gary Sheldon Salem | Internal Medicine | 1375 N Main St, 1w, Lapeer, MI 48446-1350 | 2005-05-27 |
| 1124651138 | Muamer Mesinovic | Nurse Anesthetist, Certified Registered | 1375 N Main St, Lapeer, MI 48446-1350 | 2020-02-18 |
| 1881254340 | Justin Bailey | Registered Nurse | 1375 N Main St, Lapeer, MI 48446-1350 | 2019-06-17 |
| 1629631205 | Hayley L Dunlap | Registered Nurse | 1375 N Main St, Lapeer, MI 48446-1350 | 2019-04-18 |
| 1871061424 | Marci Kay Coates | Nurse Practitioner | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-11-12 |
| 1659849586 | Ashley N Brown | Nurse Practitioner | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-11-08 |
| 1023591484 | Rose Kodsy | Nurse Practitioner | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-09-12 |
| 1427546290 | Brooke Lubahn | Occupational Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-04-27 |
| 1255838090 | Thandapani Sivakumar | Physical Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-04-09 |
| 1023515863 | Jennifer Nolan | Occupational Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136986 | Michelle Jean Windom | Social Worker | 608 Fox St., Lapeer, MI 48446 | 2018-03-08 |
| 1831448927 | Christina Thick | Registered Nurse | 1570 Suncrest Drive, Lapeer, MI 48446 | 2012-09-05 |
| 1740556109 | Nina S Lopatin | Audiologist | 951 S. Main Street, Ste. 2, Lapeer, MI 48446 | 2012-03-29 |
| 1316249295 | Adam Richard Ahlgren | Occupational Therapist | 2525 Demille Blvd, Lapeer, MI 48446 | 2010-11-26 |
| 1780903898 | Melissa Ann Price | Occupational Therapy Assistant | 1582 Heather Drive, Lapeer, MI 48446 | 2010-05-28 |
| 1801123732 | Colleen Marie Soto | Counselor | 608 Fox Street, Lapeer, MT 48446 | 2009-11-13 |
| 1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
| 1659541902 | Hesham E Gayar, Md, PC | Specialist | 1295 Barry Drive, Suite A, Lapeer, MI 48446 | 2008-03-03 |
| 1790977494 | Stanley S. Roland, D.o., P.C. | Dermatology | 610 North Main Street, Lapeer, MI 48446 | 2007-08-16 |
| 1316139603 | Kimberly Ann Proffer | Pharmacist | 15555 Demill Rd, Lapeer, MI 48446 | 2007-08-10 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871567834 | Forrest D Robart | Surgery | 844 S Main St, Lapeer, MI 48446-3027 | 2006-02-15 |
| 1164788386 | Mayo Mitsuya | Surgery | 1375 N Main St, Lapeer, MI 48446-1350 | 2012-04-02 |
| 1184998288 | Mclaren Lapeer Region | Surgery | 1375 N Main St, Lapeer, MI 48446-1350 | 2012-03-07 |
| 1558558320 | Ahmed A Shalabi | Surgery | 1254 N Main St, Lapeer, MI 48446 | 2007-09-26 |
| 1043436462 | Nicholas Paul Nunnally | Surgery | 1375 N Main St, Lapeer, MI 48446-1350 | 2007-04-17 |
| 1851413900 | Robert M Stenz Do PC | Surgery | 3273 Davison Rd, Suite 4, Lapeer, MI 48446-2902 | 2007-04-06 |
| 1659400513 | Surgical Specialist PC | Surgery | 844 S Main St, Lapeer, MI 48446-3027 | 2007-03-05 |
| 1922145606 | Mclaren Medical Group | Surgery | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-01-31 |
| 1568553667 | William V Zemnickas II | Surgery | 844 S Main St, Lapeer, MI 48446-3027 | 2006-09-27 |
| 1831297621 | Ratan Rajani | Surgery | 844 S Main St, Lapeer, MI 48446-3027 | 2006-09-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.