Michael J Andreoni, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00024631 Issued in WA

Practice address

11603 State Ave Ste G
Marysville, WA 98271-8465

Phone

(360) 658-6800

Fax

(360) 658-6819

NPI assigned

Sep 25, 2006

Last updated

Feb 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1487754677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011409",
            "telephone_number": "425-317-0279",
            "fax_number": "425-317-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11603 STATE AVE STE G",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718465",
            "telephone_number": "360-658-6800",
            "fax_number": "360-658-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREONI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00024631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025192",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hernan Humberto Alvarado Orellana, MD
• Elinore Lane Amador, M.ED.
• Pegah Amani
• Ambrosia Healing Arts, Inc. (Acupuncture Associates of Marysville)
• Judy A Anderson, LMT
• Don B Andrews, MD
• Grant Ellis Andrews, DO
• Mary Elizabeth Angell Tiedemann, MS CCC SLP
• Julissa Anguiano Perez, MSW, LSWAIC
• Anjali Dsouza MD PLLC (Pontum Health)

• Internal Medicine Physician in Marysville, WA
• Providers in Marysville, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.