Individual provider Active NPI

Pietro S Molinari, P.A.

  • Physician Assistant
  • Escanaba, MI
National Provider Identifier
1235229345
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004352 Issued in MI
Practice address
3401 Ludington St
Escanaba, MI 49829-1300
Phone
(906) 786-5707
Fax
(906) 786-4004
NPI assigned
Oct 13, 2006
Last updated
Jul 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004352 MI Primary

Addresses

Primary practice location

3401 Ludington St
Escanaba, MI 49829-1300

Mailing address

13 Royal Oak Dr
Gladstone, MI 49837-2355
Phone (906) 428-3234

Other identifiers 1

IdentifierTypeStateIssuer
P00344628OtherMIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000142 MI Practitioner - Physician Assistant 7911958400 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Michigan Emergency Physicians, LLP Physician Assistant CurrentSince Apr 12, 2006 Accepting new patients
Dickinson County Healthcare System Physician Assistant CurrentSince May 1, 2021 Accepting new patients
Northern Michigan Emergenc Physicians, LLP Physician Assistant CurrentSince Apr 12, 2006 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jan 1, 2019 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jan 1, 2019 Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1235229345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ROYAL OAK DR",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498372355",
            "telephone_number": "906-428-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 LUDINGTON ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291300",
            "telephone_number": "906-786-5707",
            "fax_number": "906-786-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINARI",
        "first_name": "PIETRO",
        "middle_name": "S",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00344628",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

Verify at the official NPI Registry.