NICHOLAS JAMES CORIASSO DO NPI 1194257709

NPI Information

  • NPI: 1194257709
  • Provider Name: NICHOLAS JAMES CORIASSO, DO
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 416 CONNABLE AVE
    PETOSKEY, MI
    ZIP 49770
  • Phone: (800) 248-6777

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NPI Details

Nicholas James Coriasso, DO is an interventional cardiology internal medicine in Petoskey, MI with 9 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Nicholas James Coriasso, DO NPI is 1194257709. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2017

The provider's business location address is:

416 CONNABLE AVE
PETOSKEY, MI
ZIP 49770-212
Phone: (800) 248-6777

The NPI 1194257709 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/2/2017 and was last updated on 6/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease5101025590MICHIGANNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207RI0011XInternal MedicineInterventional Cardiology5101025590MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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