Active NPI
David S Sciamanna, DO
- Neonatal-Perinatal Medicine Physician
- Traverse City, MI
National Provider Identifier
1548268808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 5101006999
- Practice address
- 1105 6TH St
Munson Medical Ctr-Nicu
Traverse City, MI 49684-2349 - Phone
- (231) 935-5544
- NPI assigned
- Jul 11, 2005
- Last updated
- Nov 16, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 5101006999 | MI | Primary |
Addresses
Primary practice location
1105 6TH St
Munson Medical Ctr-Nicu
Traverse City, MI 49684-2349
Mailing address
1105 6TH St
Munson Medical Ctr-Nicu
Traverse City, MI 49684-2349
Phone (231) 935-5544
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50027456 | Other | MI | ALLIANCE HEALTH |
| 3552810144 | Other | MI | BLUE CROSS |
| P64750 | Other | MI | BLUE CARE NETWORK |
| 4717354 | Medicaid | MI | |
| 23561 | Other | MI | PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161107002546 | MI | Order and Referring Only - Pediatric Medicine | 0941589352 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1548268808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 6TH ST",
"address_2": "MUNSON MEDICAL CTR-NICU",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842349",
"telephone_number": "231-935-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 6TH ST",
"address_2": "MUNSON MEDICAL CTR-NICU",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842349",
"telephone_number": "231-935-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIAMANNA",
"first_name": "DAVID",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MI",
"license": "5101006999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE HEALTH",
"identifier": "50027456",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3552810144",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P64750",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4717354",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "23561",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.