James Coticchia, M.D., P.C.

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

License

4301082703 Issued in MI

Legal business name

JAMES COTICCHIA, M.D., P.C.

Doing business as

Pediatric ENT Clinic of Michigan

Practice address

18181 Oakwood Blvd Ste 202
Dearborn, MI 48124-4082

Phone

(248) 652-2240

Fax

(248) 659-1861

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

James Coticchia

Title

President

Phone

(248) 652-2240

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric ENT Clinic of Michigan Doing business as

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1538568696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 202",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244082",
            "telephone_number": "248-652-2240",
            "fax_number": "248-659-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 202",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244082",
            "telephone_number": "248-652-2240",
            "fax_number": "248-659-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES COTICCHIA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "COTICCHIA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-652-2240"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "MI",
            "license": "4301082703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11043425001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric ENT Clinic of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew R Jakovac, CRNA
• Violeta Jakovljeski
• Valerie Jakubus, BCBA
• Abbas Fadel Jamaluddin, PHARM.D.
• James C Rugenski D.C.P.C.
• James D. Gerard D.D.S. & a. Marla Gerard D.D.S., P.C,
• Dylan James, M.S.ED.
• Terrance James
• Mariam Jamil, MBBS
• Mashal Jamil, MD

• Pediatric Otolaryngology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Pediatric Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.