Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Isaac Deatherage, DO, MPH

Individual provider General Practice Physician · NPI 1942998810

Isaac Deatherage, DO, MPH is registered under 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?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

18627 144th Ave
Spring 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 number1942998810
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , MPH
Sole proprietorYes
NPI enumeratedApril 27, 2023
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolPACIFIC 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

Colleagues at Ballout International PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 47 clinicians in the practice; 12 are shown here.