Christopher Iacobelli MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301074411 Issued in MI

Legal business name

CHRISTOPHER IACOBELLI MD PC

Practice address

14272 N Fenton Rd
Fenton, MI 48430-1544

Phone

(810) 714-5100

Fax

(810) 714-5101

NPI assigned

May 25, 2011

Organization subpart

No

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

Authorized official

Name

Christopher Iacobelli, MD

Title

Sole Member

Phone

(810) 714-5100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1902199862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14272 N FENTON RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301544",
            "telephone_number": "810-714-5100",
            "fax_number": "810-714-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14272 N FENTON RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301544",
            "telephone_number": "810-714-5100",
            "fax_number": "810-714-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER IACOBELLI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "IACOBELLI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "810-714-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301074411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Charles, PTA
• Rebecca Lin Chema
• Christopher Childers, FNP
• Audrey Chipka, PHARM.D.
• Soon A Choi, MD
• Daniel J Cirka, PAC
• Darin T Clark, P.A.-C
• Kathryn Claypool
• Clayton Physical Therapy and Wellness, PLLC
• Jessica Cobb, OTR

• Family Medicine Physician in Fenton, MI
• Providers in Fenton, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.