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NPI Code Detail

MEDICARE: DR. JOSEPH D SANTANGELO M.D.

MEDICARE: DR. JOSEPH D SANTANGELO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician35077321OH
2208000000XPediatrics Physician4301095482MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12762343OTHEROHAETNA
21203915OTHEROHUNITED HEALTHCARE
3000000214938OTHEROHANTHEM BC/BS
477321OTHEROHHUMANA

General Provider Information

NPI Number : 1952374803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH D SANTANGELO M.D.
Provider Business Mailing Address
First Line : 520 COBB ST
Second Line :
City : CADILLAC
State : MI
Zip : 49601-2588
Country : US
Telephone Number : 231-775-6521
Fax Number : 231-876-6519
Provider Business Practice Location Address
First Line : 520 COBB ST
Second Line :
City : CADILLAC
State : MI
Zip : 49601-2588
Country : US
Telephone Number : 231-775-6521
Fax Number : 231-876-6519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 06/30/2011

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