Active NPI
Petoskey Ear Nose & Throat Specialists PLLC
- Otolaryngology Physician
- Petoskey, MI
National Provider Identifier
1316965767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 4301086459
- Legal business name
- PETOSKEY EAR NOSE & THROAT SPECIALISTS PLLC
- Practice address
- 560 W Mitchell St
Suite 250
Petoskey, MI 49770-2275 - Phone
- (231) 487-3277
- Fax
- (231) 487-6167
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc A Feeley, M.D.
- Title
- Managing Partner
- Phone
- (231) 487-3277
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 4301086459 | MI | Primary |
| Otolaryngology Physician | 207Y00000X | MI | ||
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 51010103761 | MI | |
| Audiologist-Hearing Aid Fitter | 237600000X | 1601000006 | MI | |
| Audiologist-Hearing Aid Fitter | 237600000X | 1601000140 | MI |
Addresses
Primary practice location
560 W Mitchell St
Suite 250
Petoskey, MI 49770-2275
Mailing address
560 W Mitchell St
Suite 250
Petoskey, MI 49770-2275
Phone (231) 487-3277
National Provider Directory
National Provider DirectoryLocations
1320 E M 32
Gaylord, MI 49735
Phone (231) 487-5400
829 N Center Ave
Ste 160
Gaylord, MI 49735
Phone (231) 487-3277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426809600000",
"number": "1316965767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST",
"address_2": "SUITE 250",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702275",
"telephone_number": "231-487-3277",
"fax_number": "231-487-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST",
"address_2": "SUITE 250",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702275",
"telephone_number": "231-487-3277",
"fax_number": "231-487-6167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETOSKEY EAR NOSE & THROAT SPECIALISTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2015-03-20",
"status": "A",
"authorized_official_last_name": "FEELEY",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "231-487-3277",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MI",
"license": "4301086459",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "MI",
"license": "51010103761",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MI",
"license": "1601000006",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MI",
"license": "1601000140",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
- Peter S Armstrong MD PLLC
- Jason Peterman, PAC
- Hunter Stephen Peters, MS, BCBA, LBA
- Christie Lynn Petersen, BS, HIS
- Petoskey Child Health Associates, PC
- Petoskey Ear, Nose & Throat Specialists PLLC
- Petoskey Eye Care PC
- Petoskey Family Medicine P.C.
- Petoskey Family Medicine P.C.
- Petoskey Family Medicine, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.