Steven M Marchetta, DO

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

SM007572 Issued in MI

Practice address

3455 Regency Park Dr
Grand Blanc, MI 48439-2559

Phone

(810) 694-0600

Fax

(810) 694-0601

NPI assigned

Jul 27, 2006

Last updated

Jul 17, 2008By 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 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Steven C Reschak DO PC

  • Otolaryngology Physician
  • Grand Blanc, MI
  • NPI 1962689786
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1639193048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 REGENCY PARK DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392559",
            "telephone_number": "810-694-0600",
            "fax_number": "810-694-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 REGENCY PARK DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392559",
            "telephone_number": "810-694-0600",
            "fax_number": "810-694-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHETTA",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "SM007572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5251217",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0101325",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH ADVANTAGE",
            "identifier": "204039",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "240003353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "E26756",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1402852",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "381862593002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Victor Mangan, LPC
• Jaspreet Mann, M.D.
• Stephen Eugene Manning, DO
• Jason Mansoor
• Maple Specialized Residential Services
• Paul J Marcinkoski, DPT
• Monir Radwan Mardini, MD
• Divine Joi Mares
• Dennis Michael Marien, PA
• Marjorie a Soper P.C.

• Otolaryngology Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.