Isaac Deatherage, DO, MPH
Isaac Deatherage, DO, MPH is a General Practice in Spring Lake, Michigan. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2022, 4 years ago. Practices with Ballout International PLLC, a 47-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 4
- Trained at
- Pacific NW Un of Hs, Col of Osteopathic Medicine
- Licensed in
- MI
- In the registry since
- 2023
What do these letters mean?
Practice location Address checks out
18627 144th AveSpring Lake, MI 49456-9520
Phone: (918) 814-6422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 5101028511 (MI) |
|---|
Record details
| NPI number | 1942998810 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO , MPH |
| Sole proprietor | Yes |
| NPI enumerated | April 27, 2023 |
| Last updated in NPPES | April 9, 2025 |
| Certification date | April 9, 2025 |
| Mailing address | 18627 144th Ave, Spring Lake, MI 49456-9520 |
Medicare enrollment
| Medicare specialty | GENERAL PRACTICE |
|---|---|
| Medical school | PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE |
| Graduated | 2022 (4 years in practice) |
| Group practice | Ballout International Pllc — 47 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |