Active NPI
Joseph D Santangelo, M.D.
- Pediatrics Physician
- Cadillac, MI
National Provider Identifier
1952374803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301095482
- Practice address
- 520 Cobb St
Cadillac, MI 49601-2588 - Phone
- (231) 775-6521
- Fax
- (231) 876-6519
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35077321 | OH | |
| Pediatrics Physician | 208000000X | 4301095482 | MI | Primary |
Addresses
Primary practice location
520 Cobb St
Cadillac, MI 49601-2588
Mailing address
520 Cobb St
Cadillac, MI 49601-2588
Phone (231) 775-6521
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2762343 | Other | OH | AETNA |
| 1203915 | Other | OH | UNITED HEALTHCARE |
| 000000214938 | Other | OH | ANTHEM BC/BS |
| 77321 | Other | OH | HUMANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301095482 | MI | MD | Pediatrics Physician |
| 35077321 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1952374803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 COBB ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012588",
"telephone_number": "231-775-6521",
"fax_number": "231-876-6519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 COBB ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012588",
"telephone_number": "231-775-6521",
"fax_number": "231-876-6519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTANGELO",
"first_name": "JOSEPH",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35077321",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301095482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2762343",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1203915",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000214938",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "77321",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.