Michael Broniatowski M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

35-043656 Issued in OH

Legal business name

MICHAEL BRONIATOWSKI M.D.

Practice address

2322 E 22ND St
Suite 200
Cleveland, OH 44115-3176

Phone

(440) 363-2556

Fax

(440) 363-2768

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Michael Broniatowski, M.D

Title

Owner

Phone

(216) 363-2556

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1720205610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 RIDGE RD",
            "address_2": "#161",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441443327",
            "telephone_number": "440-236-8484",
            "fax_number": "440-236-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E 22ND ST",
            "address_2": "SUITE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153176",
            "telephone_number": "440-363-2556",
            "fax_number": "440-363-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BRONIATOWSKI M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "BRONIATOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-363-2556",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35-043656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0631516",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Rowehl Miano, AGPNP-BC
• Ariel Micale
• Jessica Miccio
• Christine Miceli, PA-C
• Kiera Miceli
• Courtney Michael
• Fouad Issa Michael
• Jennifer L Michael, RD, LD, CDE
• Madonna Michael, M.D.
• Sierra Raven Michael

• Otolaryngology Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Otolaryngology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.