Michael P Colletti MD PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

5563 Issued in NV

Legal business name

MICHAEL P COLLETTI MD PC

Practice address

4580 S Eastern Ave
#29
Las Vegas, NV 89119-6100

Phone

(702) 734-2242

Fax

(702) 737-7690

NPI assigned

Jul 29, 2005

Organization subpart

No

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

Authorized official

Name

Michael Phillip Colletti, MD

Title

Owner

Phone

(702) 734-2242

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1609876663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 S EASTERN AVE",
            "address_2": "#29",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196100",
            "telephone_number": "702-734-2242",
            "fax_number": "702-737-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 S EASTERN AVE",
            "address_2": "#29",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196100",
            "telephone_number": "702-734-2242",
            "fax_number": "702-737-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P COLLETTI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "COLLETTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-734-2242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NV",
            "license": "5563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK5469",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Karagiozis DO LTD
• Michael Lin Chiropractic LLC
• Michael Milligan PC
• Michael P Chan, MD, Ms, RST, Inc
• Michael P Colletti MD PC
• Michael P Horan MD PHD LTD
• Michael P Verni, M.D., LTD.
• Michael P. Webberson DDS LTD
• Michael R Wanlass DDS LTD
• Michael S Levy DO Professional Corporation

• Rheumatology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rheumatology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.