Matthew L Visconti MD LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MATTHEW L VISCONTI MD LLC

Practice address

1114 Charlevoix Ave
Petoskey, MI 49770-9701

Phone

(231) 439-9700

Fax

(231) 439-9709

NPI assigned

Jun 26, 2006

Last updated

May 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew L Visconti, M.D.NPI 1306883202

Title

President

Phone

(231) 439-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew L Visconti, M.D.

  • Diagnostic Radiology Physician
  • Petoskey, MI
  • NPI 1306883202
  Authorized official Same address or phone

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1811924160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497700731",
            "telephone_number": "231-439-9700",
            "fax_number": "231-439-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 CHARLEVOIX AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709701",
            "telephone_number": "231-439-9700",
            "fax_number": "231-439-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW L VISCONTI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "VISCONTI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-439-9700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104926793",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Martin, MD
• Stacey L. Martin, LPTA
• Julie Marie Martinson, DDS
• Martinsondriscoll D.D.S.
• Trevor Matelski
• Ashley Matusz-Fisher, MD
• Allen Scott Mays
• Patricia L Maza
• Daina Leigh Sutton McAdams
• Melanie Elizabeth McArthur, MS, OTRL

• Diagnostic Radiology Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.