Michael G. Marcotte, M.D., P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MICHAEL G. MARCOTTE, M.D., P.C.

Practice address

2060 43Rd St SE
Grand Rapids, MI 49508-5099

Phone

(616) 281-0093

Fax

(616) 281-0580

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Michael G. Marcotte, M.D.NPI 1124015045

Title

Owner

Phone

(616) 281-0093

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael G Marcotte, M.D.

  • Pediatrics Physician
  • Grand Rapids, MI
  • NPI 1124015045
  Medicare reassignment NPD Authorized official
• An Nguyen, MD

  • Family Medicine Physician
  • Kentwood, MI
  • NPI 1629024880
  Medicare reassignment NPD

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1891782728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 43RD ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085099",
            "telephone_number": "616-281-0093",
            "fax_number": "616-281-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 43RD ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085099",
            "telephone_number": "616-281-0093",
            "fax_number": "616-281-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. MARCOTTE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "MARCOTTE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-281-0093",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Mi
• Tayaba Miah, MD
• Christopher J Mianecki, D.O.
• Patricia E Miarka, ST
• Micah White LLC
• Michael J Crawford MD PC
• Michael J. Crawford, M.D., P.C.
• Michael L Keil DO PC
• Michael Makedonsky PHD
• Michael R. Jarvis, DO PC

• Pediatrics Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.