NPIMap

Individual provider Active NPI

Jonathan Dominick Alterie, D.O

  • Emergency Medicine Physician
  • Petoskey, MI
National Provider Identifier
1770947194
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101025492 Issued in MI
Practice address
416 Connable Ave
Petoskey, MI 49770-2212
Phone
(800) 248-6777
NPI assigned
Apr 12, 2016
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 5101025492 MI
Emergency Medicine Physician 207P00000X 5101025492 MI Primary

Addresses

Primary practice location

416 Connable Ave
Petoskey, MI 49770-2212

Mailing address

PO Box 30516
Dept 4101
Lansing, MI 48909-8016
Phone (616) 975-1845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709000171 MI Practitioner - Emergency Medicine 0840588653 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecs Northern Michigan PCGroup PAC ID 3173892627, 24 clinicians
Hawk Emergency Group, P.C.Group PAC ID 6800241050, 55 clinicians

Practice addresses (Care Compare)

416 Connable Ave
Petoskey, MI 49770-2212
Phone (800) 248-6777

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101025492MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Nov 10, 2020 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients
Visionary Medical Services PC Anesthesiology CurrentSince May 20, 2024 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients
Ecs Northern Michigan PC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

748 S Main St
Cheboygan, MI 49721
Phone (231) 627-5601

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

1840 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 391-1730

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

Interoperability endpoints

  • Direct secure messaging: jalterie@direct.iuhealth.org
  • Direct secure messaging: jalterie129953@mymichiganhealth.midirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1770947194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30516",
            "address_2": "DEPT 4101",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489098016",
            "telephone_number": "616-975-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CONNABLE AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702212",
            "telephone_number": "800-248-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTERIE",
        "first_name": "JONATHAN",
        "middle_name": "DOMINICK",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101025492",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101025492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.