Frank Bagnasco MD PC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

FB034436 Issued in MI

Legal business name

FRANK BAGNASCO MD PC

Practice address

44555 Woodward Avenue
Suite 507
Pontiac, MI 48341-2935

Phone

(248) 335-8170

Fax

(248) 858-3920

NPI assigned

Nov 14, 2005

Reactivated

Mar 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Frank Anthony Bagnasco, MD

Title

President

Phone

(248) 335-8170

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1881675163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVENUE",
            "address_2": "SUITE 507",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412935",
            "telephone_number": "248-335-8170",
            "fax_number": "248-858-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVENUE",
            "address_2": "SUITE 507",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412935",
            "telephone_number": "248-335-8170",
            "fax_number": "248-858-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK BAGNASCO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2023-03-07",
        "deactivation_date": "2009-07-17",
        "reactivation_date": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "BAGNASCO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-335-8170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "FB034436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104150113",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE STATE OF MICHIGAN",
            "identifier": "FB034436",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Fox, DO
• Khalea Dorionne Foy, LMSW
• Elliott Fraiberg, M.D.
• Todd Brendon Francis, MD
• Kenneth P. Franckowiak, D.O.
• Karen E Frank, DDS
• Ashley Fransted
• Rachael Ann Frazho, LLMSW
• Monica B Frazier
• Allison Michelle Frederick, APRN

• Interventional Cardiology Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Interventional Cardiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.