Provider Demographics
NPI:1124025028
Name:BUSCH, MICHAEL FREDERICK (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FREDERICK
Last Name:BUSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD024909E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0040128000OtherAMERIHEALTH
0040128000OtherINDEPENDENCE BLUE CROSS/K
1280461OtherCIGNA HEALTHCARE
1526926OtherPRIVATE HEALTHCARE SYSTEM
01182801OtherCAPITAL BLUE CROSS/KHPC
383200OtherHEALTH AMERICA/HEALTH ASS
2170552OtherMAMSI
815860OtherFIRST PRIORITY HEALTH
28901OtherGEISINGER HEALTH PLAN
01182801OtherKEYSTONE HEALTH CENTRAL
074014OtherHIGHMARK BLUE SHIELD
PA0015062760001Medicaid
1554332OtherUNITED HEALTHCARE
P369796OtherOXFORD HEALTH PLANS
0040128000OtherKEYSTONE HEALTH EAST
200020204OtherMEDICARE - RAILROAD
498048OtherAETNA PPO
PA0015062760001Medicaid
074014Medicare PIN