Isaac Deatherage, DO, MPH
NPI 1942998810ActiveIndividual· General Practice· Spring Lake, MI
General Practice (DO, MPH) in Spring Lake, Michigan, trained at Pacific Nw Un of Hs, Col of Osteopathic Medicine (class of 2022). Enrolled in Medicare as practitioner - general practice.
Overview
| NPI | 1942998810 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO, MPH |
| Sole proprietor | Yes |
| NPI issued | Apr 27, 2023 |
| Last updated in NPPES | Apr 9, 2025 |
| Certified by provider | Apr 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 5101028511 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (FL) |
|---|
Education and affiliations
| Medical school | Pacific Nw Un of Hs, Col of Osteopathic Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | General Practice |
Medical group
- Ballout International PLLCLewisburg, WV · 49 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other general practitioners in Spring Lake
- 1528293925