DR. MICHAEL JAMES MICHUTKA (NPI# 1275803132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275803132 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JAMES MICHUTKA |
| Credential | PHARM.D. |
| Practice Address |
1521 Gull Rd Pharmacy Department Kalamazoo MI 49048-1640 |
| Mailing Address |
4355 Kettle Moraine Dr Apt 3a Kalamazoo MI 49048-3145 |
| Practice Telephone | 2622265206 |
| Mailing Telephone | 2692265206 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302036094 | MI | Pharmacy Service Providers |
| Street Address |
1521 GULL RD PHARMACY DEPARTMENT |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033939 | Midwestern Pathology, PC | Pathology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2005-06-17 |
| 1164038667 | Emily Thurnherr | Pharmacist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-09-20 |
| 1578180899 | Ceara Elaina Sibley | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-07-02 |
| 1770108508 | Emily Krumbach | Pharmacist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-06-08 |
| 1700400686 | Emily Mccollum | Psychologist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-06-05 |
| 1316568850 | Adraya Gabrielle Garrett | Social Worker | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-05-06 |
| 1114551272 | Brandy Lee Ford | Internal Medicine | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-02-27 |
| 1689206120 | Olivia Foote | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1666 | 2020-02-12 |
| 1962035402 | Shannon Nicole Hepler | Registered Nurse | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-02-12 |
| 1346887130 | Bethany Paige Flanagan | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2019-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093143620 | Louis Clause Kynard Jr. | Pharmacist | 9374 Himalayas Ave, Kalamazoo, MI 49009-6711 | 2013-10-16 |
| 1801133814 | Gemechis Ayele Roro | Pharmacist | 1305 Concord Place Dr Apt 1a, Kalamazoo, MI 49009-1637 | 2013-01-10 |
| 1649554247 | Teresa Harshman | Pharmacist | 308 Candlewyck Dr Apt 1623, Kalamazoo, MI 49001-5470 | 2011-10-01 |
| 1023356334 | Jessica Land | Pharmacist | 6480 Technology Ave, Kalamazoo, MI 49009-8119 | 2013-01-21 |
| 1497093702 | Stephanie Ann Klepser | Pharmacist | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2013-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163069 | Alaric Michael Nielson | Pharmacist | 158 Schoolcraft St, Lake Linden, MI 49945-1328 | 2020-10-26 |
| 1598380529 | Daniel Asare Offei | Pharmacist | 2539 Sagewood Ave Ne Unit 718, Grand Rapids, MI 49525-2952 | 2020-06-16 |
| 1013540426 | Aiman Abueida | Pharmacist | 17000 Executive Plaza Dr Ste 201, Dearborn, MI 48126-2793 | 2020-02-14 |
| 1336770866 | Azadeh Ali Moghaddam | Pharmacist | 5951 Sunrise Dr, Ypsilanti, MI 48197-7498 | 2020-02-03 |
| 1811527104 | Bailey Elaine Johnson | Pharmacist | 626 W Front St, Traverse City, MI 49684-2210 | 2020-01-25 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1760020333 | Deborah Handrinos Njus | Pharmacist | 19028 Stonewater Blvd, Northville, MI 48168-8560 | 2019-12-14 |
| 1255978037 | Dana Trudell | Pharmacist | 829 W 4th St, Pinconning, MI 48650-8907 | 2019-11-29 |
| 1174169270 | Debra Joyce Lammers | Pharmacist | 531 West Main Street, Milan, MI 48160 | 2019-11-23 |
| 1467098533 | Thomas Aaron | Pharmacist | 4194 Glenbrook Ct, Sterling Heights, MI 48310-3378 | 2019-11-22 |
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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.