Active NPI
Mark Hnatiuk, MD
- Otolaryngology Physician
- Novi, MI
National Provider Identifier
1487631180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 4301074049
- Practice address
- 26850 Providence Parkway
Suite 205
Novi, MI 48374-1252 - Phone
- (248) 465-5314
- Fax
- (248) 465-5301
- NPI assigned
- Dec 23, 2005
- Last updated
- Jun 3, 2010
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 4301074049 | MI | Primary |
| Facial Plastic Surgery Physician | 207YS0123X | 430107409 | MI |
Addresses
Primary practice location
26850 Providence Parkway
Suite 205
Novi, MI 48374-1252
Mailing address
26850 Providence Parkway
Suite 205
Novi, MI 48374-1252
Phone (248) 465-5314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 389063649-00 | Other | OH | BWC |
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 |
|---|---|---|---|
| 430107409 | MI | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Nose and Throat Consultants PC | Past | Accepting new patients | |
| Henry Ford Health Providence Hospital | Past | Accepting new patients | |
| ENT Physicians,P.C | Otolaryngology | Past | Accepting new patients |
| ENT Physicians Inc | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Otolaryngology Physician
- Sterling HTS, MI
- NPI 1851367932
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- Otolaryngology Physician
- Toledo, OH
- NPI 1871692996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1487631180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PARKWAY",
"address_2": "SUITE 205",
"city": "NOVI",
"state": "MI",
"postal_code": "483741252",
"telephone_number": "248-465-5314",
"fax_number": "248-465-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PARKWAY",
"address_2": "SUITE 205",
"city": "NOVI",
"state": "MI",
"postal_code": "483741252",
"telephone_number": "248-465-5314",
"fax_number": "248-465-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HNATIUK",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MI",
"license": "4301074049",
"primary": true
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "MI",
"license": "430107409",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "389063649-00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.