Active NPI
Michelle Laforet Monticello, MD
- Obstetrics & Gynecology Physician
- Midland, MI
National Provider Identifier
1356437545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301058009
- Practice address
- 419 W Wackerly St
Midland, MI 48640-2761 - Phone
- (989) 631-5721
- Fax
- (989) 631-5721
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301058009 | MI | Primary |
Addresses
Primary practice location
419 W Wackerly St
Midland, MI 48640-2761
Mailing address
419 W Wackerly St
Midland, MI 48640-2761
Phone (989) 631-5721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3151493 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301058009 | MI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1356437545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 W WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402761",
"telephone_number": "989-631-5721",
"fax_number": "989-631-5721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 W WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402761",
"telephone_number": "989-631-5721",
"fax_number": "989-631-5721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTICELLO",
"first_name": "MICHELLE",
"middle_name": "LAFORET",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301058009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3151493",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.