Michael Occhietti MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4301063234 Issued in MI

Legal business name

MICHAEL OCCHIETTI MD PC

Practice address

1711 S Stephenson Ave
Suite 100
Iron Mountain, MI 49801-3639

Phone

(906) 779-9870

Fax

(906) 779-5888

NPI assigned

Apr 13, 2009

Organization subpart

No

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

Authorized official

Name

Michael James Occhietti, MD

Title

Physician

Phone

(906) 779-9870

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1528201191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE",
            "address_2": "SUITE 100",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013639",
            "telephone_number": "906-779-9870",
            "fax_number": "906-779-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE",
            "address_2": "SUITE 100",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013639",
            "telephone_number": "906-779-9870",
            "fax_number": "906-779-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL OCCHIETTI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "OCCHIETTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "906-779-9870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301063234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISC MEDICAID",
            "identifier": "32564300",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4318832",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MI",
            "identifier": "300220077",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Mellon
• Michael John Mellon, D.C.
• Carolyn Denise Mentel, CCC/SLP
• James Erwin Merrill, D.O.
• Mitzi Faye Metzler, M.S., R.D., C.D.E.
• Stephanie L Michaels, LPN
• Samantha Micheau
• Michigan-Wisconsin Family Practice Associates, P.C.
• Michigan-Wisconsin Family Practice Associates, P.C.
• Andrea L Millan, CRD CD REGISTERED CE

• Orthopaedic Surgery Physician in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.