Basic Information
| Provider Information | |||||||||
| NPI: | 1124025028 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BUSCH | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | FREDERICK | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 783311 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191783311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848844500 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108070366 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2005 | ||||||||
| LastUpdateDate: | 02/16/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | MD024909E | PA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 0040128000 | 01 | AMERIHEALTH | OTHER | 0040128000 | 01 | INDEPENDENCE BLUE CROSS/K | OTHER | 1280461 | 01 | CIGNA HEALTHCARE | OTHER | 1526926 | 01 | PRIVATE HEALTHCARE SYSTEM | OTHER | 01182801 | 01 | CAPITAL BLUE CROSS/KHPC | OTHER | 383200 | 01 | HEALTH AMERICA/HEALTH ASS | OTHER | 2170552 | 01 | MAMSI | OTHER | 815860 | 01 | FIRST PRIORITY HEALTH | OTHER | 28901 | 01 | GEISINGER HEALTH PLAN | OTHER | 01182801 | 01 | KEYSTONE HEALTH CENTRAL | OTHER | 074014 | 01 | HIGHMARK BLUE SHIELD | OTHER | 0015062760001 | 05 | PA | MEDICAID | 1554332 | 01 | UNITED HEALTHCARE | OTHER | P369796 | 01 | OXFORD HEALTH PLANS | OTHER | 0040128000 | 01 | KEYSTONE HEALTH EAST | OTHER | 200020204 | 01 | MEDICARE - RAILROAD | OTHER | 498048 | 01 | AETNA PPO | OTHER |