JOHN KITZMILLER M.D. PC – NPI #1518393800
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

JOHN KITZMILLER M.D. PC is a provider located in LAKE ORION, MI. NPPES has assigned the NPI number 1518393800 to JOHN KITZMILLER M.D. PC on September 19, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was last updated on Mar 07, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN KITZMILLER M.D. PC below.

NPI Profile for
JOHN KITZMILLER M.D. PC

NPI Number
1518393800
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHN KITZMILLER M.D. PC
Primary location
1455 S LAPEER RD STE 200
LAKE ORION, MI 48360-1468
Phone: (248) 693-4000 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN KITZMILLER
PRESIDENT
Phone: (248) 693-4000
Updated
Certification Date
Mar 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JOHN KITZMILLER M.D. PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMI101521316
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
MI 430136695

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.