MICHAEL KUTKA, MD, LLC (NPI# 1548531551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548531551 |
| Entity Type | Organization |
| Organization Name | MICHAEL KUTKA, MD, LLC |
| Practice Address |
62 Brown St Suite 502b Haverhill MA 01830-6778 |
| Practice Telephone | 9785217600 |
| Practice Fax Number | 9785217176 |
| Mailing Telephone | 9785217600 |
| Mailing Fax Number | 9785217176 |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |
| Authorized Official Name | DR. MICHAEL KUTKA (OWNER) |
| Authorized Official Telephone | 9785217600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 217914 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2019655 | 05 | |
| MA | PERSONAL NPI # | 1275530172 | 01 |
| Street Address |
62 BROWN ST SUITE 502B |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01830-6778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437150505 | Lydia Zuser | Internal Medicine | 62 Brown St, Suite # 304, Haverhill, MA 01830-6778 | 2005-08-10 |
| 1326678863 | Danielle Marie Meuse | Social Worker | 62 Brown St, Haverhill, MA 01830-6778 | 2020-01-23 |
| 1851935910 | Haverhill Family Office, LLC | Family Medicine | 62 Brown St, Haverhill, MA 01830-6778 | 2019-11-01 |
| 1033514633 | David Oswalt | Hearing Instrument Specialist | 62 Brown St, Suite 204, Haverhill, MA 01830-6778 | 2014-10-27 |
| 1003228842 | Haverhill Family Practice LLC | Family Medicine | 62 Brown St, Suite 404, Haverhill, MA 01830-6778 | 2014-05-28 |
| 1902226780 | Haverhill Gi Inc | Internal Medicine | 62 Brown St, Suite 503, Haverhill, MA 01830-6778 | 2014-04-21 |
| 1831465525 | Mitchell Stein | Hearing Instrument Specialist | 62 Brown St, Suite 204, Haverhill, MA 01830-6778 | 2012-03-27 |
| 1326378241 | Pistone Podiatric Foot Center PC | Podiatrist | 62 Brown St, Haverhill, MA 01830-6778 | 2009-12-29 |
| 1992938781 | Cheryl Doucette, Anp-bc, Pmhcns-bc, LLC | Clinical Nurse Specialist | 62 Brown St, Suite 505, Haverhill, MA 01830-6778 | 2009-08-27 |
| 1659502920 | Merrimack Valley Foot Specialists,inc | Podiatrist | 62 Brown St, Suite 502, Haverhill, MA 01830-6778 | 2009-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171753 | Saint Gemma Health and Wellness Center Inc. | Clinic/Center | C/o Mary Fallavollita, 375 Main St., Haverhill, MA 01830 | 2019-12-16 |
| 1689143968 | Margaret O'day | Social Worker | 621 Main Street, Haverhill, MA 01830 | 2018-11-16 |
| 1396213633 | Michelle Flanagan | Nurse Practitioner | 600 Primrose Street, Haverhill, MA 01830 | 2018-11-05 |
| 1992281265 | Megan Lee Cahill | Social Worker | 150 Water St., Haverhill, MA 01830 | 2018-07-19 |
| 1588116602 | Ronald Charles Jordan Jr. | Counselor | 6 Concordia Drive, Haverhill, MA 01830 | 2016-10-25 |
| 1902269772 | Alta Marie Tusini | Pediatrics | 600 Primrose St Ste 200, Haverhill, MA 01830 | 2016-03-30 |
| 1447611199 | Joan Hatem-roy | Social Worker | 280 Merrimack Street, Suite 400, Lawrence, MA 01830 | 2016-03-09 |
| 1326431818 | Divine Home Care | Home Health | 18 Kenoza St, Haverhill, MA 01830 | 2015-03-09 |
| 1821429861 | Emmaus | Case Manager/Care Coordinator | 127 How St., Haverhill, MA 01830 | 2013-12-02 |
| 1225390362 | Larry Medolo | Homeopath | 606 Broadway Ave, Haverhill, MA 01830 | 2012-06-14 |
| Find all providers in zip 01830 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407375454 | Michael Kutka Md Inc | Plastic Surgery | 62 Brown St Ste 206, Haverhill, MA 01830-6790 | 2017-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083285 | Hpss-wpho, Inc | Plastic Surgery | 92 Montvale Ave Ste 3300, Stoneham, MA 02180-3652 | 2020-05-05 |
| 1134762693 | Clareo Aesthetics | Plastic Surgery | 25 Boylston St Ste 304, Chestnut Hill, MA 02467-1710 | 2019-10-28 |
| 1881119378 | Taylor Jan Berube | Plastic Surgery | 300 Stafford St Ste 256, Springfield, MA 01104-3513 | 2017-08-07 |
| 1700299245 | Greater Boston Plastic Surgery & Luxe Aesthetics | Plastic Surgery | 10 Roseberry Dr, Boylston, MA 01505-2024 | 2014-06-03 |
| 1831510528 | Aesthetic Plastic Surgery of North Shore PC | Plastic Surgery | 29 Hickory Hill Rd, Manchester, MA 01944-1575 | 2013-12-23 |
| 1881036903 | Richard V. Montilla M.d, P.C. | Plastic Surgery | 123 Summer St Ste 675, Worcester, MA 01608-1216 | 2013-07-18 |
| 1346551199 | Aparajit Naram | Plastic Surgery | 2 Medical Center Dr Ste 206, Springfield, MA 01107-1272 | 2010-06-27 |
| 1508182296 | Jonathan Y Lee | Plastic Surgery | 2 Medical Center Dr Ste 309, Springfield, MA 01107-1271 | 2010-04-20 |
| 1598907420 | Ryan Patrick Cauley | Plastic Surgery | 110 Francis St Ste 5a, Boston, MA 02215 | 2009-03-24 |
| 1578728853 | Christian N. Ford | Plastic Surgery | 80 Washington Street, Building D, Suite 21, Norwell, MA 02061 | 2008-07-25 |
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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.