Michael J. Massoni, B.S., C.C.P., L.P

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

LP22 Issued in OK

Practice address

3612 N Flamingo Ave
Bethany, OK 73008-3664

Phone

(405) 787-0978

Fax

(405) 787-2677

NPI assigned

Nov 7, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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 and National Provider Directory roles.

• Bethany Perfusion, PC

  • Surgical Technologist
  • Bethany, OK
  • NPI 1093884769
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750450474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 N FLAMINGO AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730083664",
            "telephone_number": "405-787-0978",
            "fax_number": "405-787-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 N FLAMINGO AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730083664",
            "telephone_number": "405-787-0978",
            "fax_number": "405-787-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSONI",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "B.S., C.C.P., L.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "OK",
            "license": "LP22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy McHugh LCSW PLLC
• Erin March, M.ED.,CCC-SLP
• Mark B. Privott, O.D., Inc
• Mark Shreffler LPC LLC
• Rosa Maria Martinez Deloera, RD/LD
• Kathilee J Matamoros
• David Mathew, APRN
• Cami Matthews, PT
• Melissa K McCarty, PA-C
• Wade T McCoy, MD

• Surgical Technologist in Bethany, OK
• Providers in Bethany, OK by specialty
• Surgical Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.