Organization Active NPI

Peter D Cotey DO PC

  • Family Medicine Physician
  • Owosso, MI
National Provider Identifier
1740225689
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101011399 Issued in MI
Legal business name
PETER D COTEY DO PC
Practice address
1053 E Main St
Suite 204
Owosso, MI 48867-8417
Phone
(989) 729-7778
Fax
(989) 729-7680
NPI assigned
Jun 17, 2006
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Peter D Cotey, D.O.
Title
Owner
Phone
(989) 729-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101011399 MI Primary

Addresses

Primary practice location

1053 E Main St
Suite 204
Owosso, MI 48867-8417

Mailing address

1053 E Main St
Suite 204
Owosso, MI 48867-8417
Phone (989) 729-7778

Other identifiers 1

IdentifierTypeStateIssuer
4131403MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1740225689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 E MAIN ST",
            "address_2": "SUITE 204",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488678417",
            "telephone_number": "989-729-7778",
            "fax_number": "989-729-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 E MAIN ST",
            "address_2": "SUITE 204",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488678417",
            "telephone_number": "989-729-7778",
            "fax_number": "989-729-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER D COTEY DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "COTEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-729-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101011399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4131403",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.