Anthony Iacco MD PLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301092602 Issued in MI

Legal business name

ANTHONY IACCO MD PLC

Practice address

3535 W 13 Mile Rd
Suite 204
Royal Oak, MI 48073-6770

Phone

(248) 551-9095

Fax

(248) 551-9080

NPI assigned

Apr 3, 2015

Organization subpart

No

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

Authorized official

Name

Anthony Iacco, MD

Title

Owner

Phone

(734) 657-2409

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1912392275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 204",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-9095",
            "fax_number": "248-551-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 204",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-9095",
            "fax_number": "248-551-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY IACCO MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "IACCO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-657-2409",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301092602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Katrina Angell, CRNA
• Anil K Gupta M D PLC
• Ann M. Renard, PHD LP PC
• Jennifer Margaret Annetta, NP-C
• Khalil Anouti, MD
• Oana Anton, M.D.
• Antonino S. Abate DDS PC
• Sandy Antoun, NP
• Afoma Danielle Anyadibe, MD
• Jihad Kamal Aoun, MD

• Surgery Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.