Active NPI
Michael T Angotti MD PLLC
- Internal Medicine Physician
- Bridgeport, WV
National Provider Identifier
1356700124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14700
- Legal business name
- MICHAEL T ANGOTTI MD PLLC
- Practice address
- 527 Medical Park Dr
Suite 307
Bridgeport, WV 26330-9008 - Phone
- (304) 933-3332
- Fax
- (304) 933-3319
- NPI assigned
- Feb 22, 2016
- Last updated
- Feb 22, 2016
- 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
- Michael Thomas Angotti, MD
- Title
- Member
- Phone
- (304) 933-3332
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14700 | WV | Primary |
Addresses
Primary practice location
527 Medical Park Dr
Suite 307
Bridgeport, WV 26330-9008
Mailing address
527 Medical Park Dr
Suite 307
Bridgeport, WV 26330-9008
Phone (304) 933-3332
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1033219654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456099200000",
"number": "1356700124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR",
"address_2": "SUITE 307",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309008",
"telephone_number": "304-933-3332",
"fax_number": "304-933-3319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR",
"address_2": "SUITE 307",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309008",
"telephone_number": "304-933-3332",
"fax_number": "304-933-3319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL T ANGOTTI MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-22",
"last_updated": "2016-02-22",
"status": "A",
"authorized_official_last_name": "ANGOTTI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "304-933-3332",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "WV",
"license": "14700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.