Individual provider Active NPI

Mariana L Perinot, MD

  • Family Medicine Physician
  • Gaylord, MI
National Provider Identifier
1740591908
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301096952 Issued in MI
Practice address
829 N Center Ave Ste 210
Gaylord, MI 49735-1599
Phone
(989) 731-7860
Fax
(989) 731-7833
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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 4301096952 MI Primary

Addresses

Primary practice location

829 N Center Ave Ste 210
Gaylord, MI 49735-1599

Mailing address

829 N Center Ave Ste 210
Gaylord, MI 49735-1599
Phone (989) 731-7860

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mariana.perinot@omhmedicalgroup.directbygreenway.com

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
I20130809000552 MI Practitioner - Family Practice 0143462705 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jun 1, 2017 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Pro-Health Medical FP CurrentSince Dec 1, 2022 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
DLP Marquette Physician Practices Inc Family Medicine CurrentSince May 1, 2013 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jun 1, 2017 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince May 1, 2013 Accepting new patients

Locations

11899 M 32
Atlanta, MI 49709
Phone (989) 785-4855

829 N Center Ave
Ste 120
Gaylord, MI 49735
Phone (989) 731-7987

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860

3003 S Baldwin Rd
Ste B
Lake Orion, MI 48359
Phone (248) 301-1090

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

1266 Walton Blvd
Rochester Hls, MI 48307
Phone (248) 710-2900

416 Woodland Dr
Sandusky, MI 48471
Phone (248) 238-3666

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1740591908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 N CENTER AVE STE 210",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351599",
            "telephone_number": "989-731-7860",
            "fax_number": "989-731-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 N CENTER AVE STE 210",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351599",
            "telephone_number": "989-731-7860",
            "fax_number": "989-731-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERINOT",
        "first_name": "MARIANA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301096952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mariana.perinot@omhmedicalgroup.directbygreenway.com",
            "affiliation": "N",
            "address_1": "829 N Center Ave Ste 210",
            "city": "Gaylord",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497351599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.