Individual provider Active NPI

Linda Patricia Coniglio, D.O.

  • Family Medicine Physician
  • Haslett, MI
National Provider Identifier
1699729442
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101007201 Issued in MI
Practice address
5680 Marsh Rd
Suite 100
Haslett, MI 48840-8987
Phone
(517) 339-8251
Fax
(517) 339-9683
NPI assigned
May 19, 2006
Last updated
Dec 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101007201 MI Primary

Addresses

Primary practice location

5680 Marsh Rd
Suite 100
Haslett, MI 48840-8987

Mailing address

5680 Marsh Rd
Suite 100
Haslett, MI 48840-8987

Other identifiers 1

IdentifierTypeStateIssuer
2090849MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000115 MI Practitioner - Family Practice 1951396365 Practice locations: Haslett, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Ambulatory Services for Health PC PastSince Jul 14, 1982 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1699729442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 MARSH RD",
            "address_2": "SUITE 100",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 MARSH RD",
            "address_2": "SUITE 100",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408987",
            "telephone_number": "517-339-8251",
            "fax_number": "517-339-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONIGLIO",
        "first_name": "LINDA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101007201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2090849",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslett, MI

Sources for this page

Verify at the official NPI Registry.