Gary Frank Curatolo, D.O.
Individual provider Active NPI Family Medicine Physician · Washington, MI
NPI 1487701009 · NPPES record last updated Aug 24, 2010
Key facts
- NPI
- 1487701009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101007921 (MI)
- Practice address
- 64521 Van Dyke Rd
Washington, MI 48095-2585 - Phone
- (586) 752-6535
- Fax
- (586) 752-1840
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110131000098 | MI | Practitioner - Family Practice | 5597944058 | Practice locations: Washington, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007921 | MI | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101007921 | MI | Yes |
Addresses
Primary practice location
64521 Van Dyke Rd
Washington, MI 48095-2585
Mailing address
64521 Van Dyke Rd
Washington, MI 48095-2585
Phone (586) 752-6535
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01 550251 5 | Other | MI | BLUE CROSS |
| 11274306 | Other | CAQ PROVIDER | |
| 2120948 11 | Medicaid | MI |
Other providers in Washington, MI
- Conibear Counseling, PLLC
- Lauren Conibear
- Steven Conway
- Danielle Marie Cook
- Curtis Patrick Craig
- Daniel & Max, LLC
- Ashley Davidson
- Thomas Michael Davidson
- Brittany Kathleen Davis
- Julia Alice Davis
All providers in Washington, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.