Dr. Michael Mstislavovich Ivanitsky, MD
Dr. Michael Mstislavovich Ivanitsky, MD is an Orthopedic Surgery in Coquille, Oregon. Graduated from Mayo Medical School in 1993, 33 years ago. Practices with Lower Umpqua Hospital District, a 44-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 33
- Trained at
- Mayo Medical School
- Licensed in
- OR
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
940 E 5th StCoquille, OR 97423-1699
Phone: (541) 396-3111
Fax: (541) 396-8135
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence MD22589 (OR) |
|---|
Record details
| NPI number | 1003837410 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 21, 2006 |
| Last updated in NPPES | September 4, 2020 |
| Certification date | September 4, 2020 |
Medicare enrollment
| Medicare specialty | ORTHOPEDIC SURGERY |
|---|---|
| Medical school | MAYO MEDICAL SCHOOL |
| Graduated | 1993 (33 years in practice) |
| Group practice | Lower Umpqua Hospital District — 44 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |