Mvc Clinical Practice - Mi PC
NPI 1073170221ActiveOrganization· Surgery· West Bloomfield, MI
Surgery in West Bloomfield, Michigan, registered in NPPES in May 2019. The authorized official on file is Max Hutton, MD, Chief Medical Officer.
Overview
| NPI | 1073170221 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2019 |
| Last updated in NPPES | Sep 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — | — |
| Surgery, Vascular Surgery | 2086S0129X | — | — |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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