Mario N Coraci PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MC0001096 Issued in MI

Legal business name

MARIO N CORACI PC

Practice address

16700 21 Mile Rd
Suite 102
Macomb, MI 48044-4887

Phone

(586) 263-8181

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mario Coraci, PC

Title

Owner

Phone

(586) 263-8181

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1346425568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16700 21 MILE RD",
            "address_2": "SUITE 102",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16700 21 MILE RD",
            "address_2": "SUITE 102",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444887",
            "telephone_number": "586-263-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO N CORACI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "CORACI",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-263-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "MC0001096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARENETWORK",
            "identifier": "P45316",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2125505",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "480002350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "T34328",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH HMO/PPO",
            "identifier": "104566",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS HEALTH PLANS",
            "identifier": "1233580002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "17058",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "485505096",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Mangianti, DC
• Jonathan Stephen Mansour
• Linda Mansour, P.T.A
• Sahar F Mansour
• Matthew Thomas Maraman
• Michelle Ann Marlow, P.T.
• Lekaa Marouki
• Robert Eldridge Marriott II, DDS
• Krystal Ann Marshall, FNP-BC
• Maurice Anthony Marshall, DO

• Foot & Ankle Surgery Podiatrist in Macomb, MI
• Providers in Macomb, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.