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Dr. Michael Mstislavovich Ivanitsky

Orthopaedic Surgeon

940 E 5th St
Coquille , Oregon 97423-1699

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Dr. Michael Mstislavovich Ivanitsky

Orthopaedic Surgeon

940 E 5th St
Coquille , Oregon 97423-1699

(541) 396-8135

Write a Review Save Call

Dr. Michael Mstislavovich Ivanitsky

Orthopaedic Surgeon

940 E 5th St
Coquille , Oregon 97423-1699

(541) 396-8135 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Orthopaedic Surgeon

Languages spoken

  • English

Location

940 E 5th St Coquille , Oregon 97423-1699

First Address

  • Dr. Michael Mstislavovich Ivanitsky
  • 940 E 5th St
  • Coquille, OR
  • Zip : 97423-1666
  • Fax : (541) 396-8135
  • Phone : (541) 396-3111

Second Address

  • Dr. Michael Mstislavovich Ivanitsky
  • 940 E 5th St
  • Coquille, OR
  • Zip : 97423-1699
  • Fax : (541) 396-8135
  • Phone : (541) 396-3111

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FAQs


Where did Dr. Michael Mstislavovich Ivanitsky attend graduate school?

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Where did Dr. Michael Mstislavovich Ivanitsky do his residency?

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Where did Dr. Michael Mstislavovich Ivanitsky do his fellowship?

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Is Dr. Michael Mstislavovich Ivanitsky board certified?

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What type of doctor is Dr. Michael Mstislavovich Ivanitsky

Orthopaedic Surgeon

In what state does Dr. Michael Mstislavovich Ivanitsky practice in?

Oregon

Where is Dr. Michael Mstislavovich Ivanitsky ’s practice located?

940 E 5th St , Coquille, Oregon, 97423-1699

What is Dr. Michael Mstislavovich Ivanitsky ’s gender?

Male

Is Dr. Michael Mstislavovich Ivanitsky a sole practitioner?

No

Is Dr. Michael Mstislavovich Ivanitsky accepting new patients?

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What languages does Dr. Michael Mstislavovich Ivanitsky speak?

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Does Dr. Michael Mstislavovich Ivanitsky accept insurance?

Yes, Dr. Michael Mstislavovich Ivanitsky accepts insurance

Does Dr. Michael Mstislavovich Ivanitsky offers telemedicine?

Dr. Michael Mstislavovich Ivanitsky has not indicated if he offers telemedicine

What is Dr. Michael Mstislavovich Ivanitsky ’s professional license number?

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What is Dr. Michael Mstislavovich Ivanitsky ’s NPI number?

1003837410

Does Dr. Michael Mstislavovich Ivanitsky have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207X00000X Orthopaedic Surgeon MD22589 OR

National Provider Identifier

NPI 1003837410
Provider Name Dr. Michael Mstislavovich Ivanitsky
First Address Coquille, OR 97423-1666
Second Address Coquille, OR 97423-1699
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 21/07/2006
Last Update Date 04/09/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
288121 (05) OR
F84579 (02) OR

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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