Active NPI
Angelo Robert Consiglio, MD
- Otolaryngology Physician
- Marianna, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME101216
- Practice address
- 4306 3Rd Avenue,
Suite a
Marianna, FL 32446 - Phone
- (850) 718-2886
- Fax
- (850) 633-5909
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | ME101216 | FL | |
| Otolaryngology Physician | 207Y00000X | ME101216 | FL | Primary |
Addresses
Primary practice location
4306 3Rd Avenue,
Suite a
Marianna, FL 32446
Mailing address
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
4306 3Rd Ave
Marianna, FL 32446-2121
Hospital & facility affiliations
- Jackson Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME101216 | FL | MD | Otolaryngic Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ER Physician Group at Jackson Hospital | Current | Accepting new patients | |
| Midwest Ear, Nose & Throat Consultants, LTD. | Otolaryngology | Past | Accepting new patients |
| Allergy Ear Nose Throat,LTD | Otolaryngology | Past | Accepting new patients |
Locations
4306 3rd Ave
Ste B
Marianna, FL 32446
Phone (850) 372-4070
4306 3rd Ave
Ste A
Marianna, FL 32446
Phone (850) 482-4820
4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200
Interoperability endpoints
- angeloconsiglio@jh.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Marianna, FL
- NPI 1407801194
-
- Allergy & Immunology Physician
- Downers Grove, IL
- NPI 1275588824
Otolaryngology
-
- Otolaryngology Physician
- Winfield, IL
- NPI 1538262951
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marianna, FL
- NPI 1538108725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1396791638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 HOSPITAL DR",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324461917",
"telephone_number": "850-526-2200",
"fax_number": "850-718-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4306 3RD AVENUE,",
"address_2": "SUITE A",
"city": "MARIANNA",
"state": "FL",
"postal_code": "32446",
"telephone_number": "850-718-2886",
"fax_number": "850-633-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSIGLIO",
"first_name": "ANGELO",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "FL",
"license": "ME101216",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME101216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.