DR. NICOLAS JOSEPH PIETRANGELO (NPI# 1528293925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528293925 |
| Entity Type | Individual |
| Full Name | DR. NICOLAS JOSEPH PIETRANGELO |
| Credential | D.O. |
| Practice Address |
19212 N Shore Dr Spring Lake MI 49456-9109 |
| Practice Telephone | 6168426813 |
| Mailing Telephone | 6168426813 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 5101006774 | MI | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 5101006774 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
19212 N SHORE DR |
| City | SPRING LAKE |
| State | MI |
| Zip Code | 49456-9109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376066001 | Kathleen Ann Bates | Nurse Practitioner | 16036 Baird Dr, Spring Lake, MI 49456 | 2017-07-25 |
| 1174859763 | David A Buursma | Physical Therapist | 16140 148th Avenue, Spring Lake Community Fitness & Aquatic Center, Spring Lake, MI 49456 | 2009-11-02 |
| 1720314552 | Arthur Linwood Brown II | Surgery | 18925 North Shore Dr., Spring Lake, MI 49456 | 2009-10-29 |
| 1700050531 | Ann Holmgren Harris | Clinical Nurse Specialist | 17353 Hazel St, Suite 212, Spring Lake, MI 49456 | 2008-04-14 |
| 1932320421 | Julie A Bench | Physical Therapist | 15414 Stoneridge Ct, Spring Lake, MI 49456 | 2007-05-01 |
| 1730304130 | Phillip Allen Morse | Pharmacist | 603 E Savidge, Spring Lake, MI 49456 | 2007-04-13 |
| 1821125592 | Patrick Scott Karwowski | Pharmacist | 603 E Savidge St, Spring Lake, MI 49456 | 2007-02-28 |
| 1528126521 | Debra Kaye Cargo | Social Worker | 107 South Division, Spring Lake, MI 49456 | 2006-12-04 |
| 1396821377 | Hometown Pharmacy Inc | Pharmacy | 17717 174th Ave, Spring Lake, MI 49456 | 2006-10-31 |
| 1710071360 | Link Dephouse | Physical Therapist | 16200 Old Orchard Dr, Spring Lake, MI 49456 | 2006-10-03 |
| Find all providers in zip 49456 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649120 | Source Medical Solutions Pllc | General Practice | 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 | 2020-11-06 |
| 1043832801 | Ksk Medical Pllc | General Practice | 6300 Winter Rd, Manitou Beach, MI 49253-9634 | 2020-05-14 |
| 1275184921 | Home Physicians Group Inc | General Practice | 18481 W 10 Mile Rd Ste 102, Southfield, MI 48075-2621 | 2019-09-24 |
| 1558913251 | Baybrooke Counseling | General Practice | 421 St. Josephs Ave, Suttons Bay, MI 49682 | 2019-07-12 |
| 1962062539 | Healthcare Alliance Pllc | General Practice | 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 | 2019-06-17 |
| 1356905061 | Comprehensive Care Medical Services | General Practice | 1747 Andover Ln Se, East Grand Rapids, MI 49506-4805 | 2019-04-29 |
| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | SPRING LAKE |
| Zip Code | 49456 |
Please comment or provide details below to improve the information on DR. NICOLAS JOSEPH PIETRANGELO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.