GARY FAMIGLIETTI PA-C NPI 1417076316

NPI Information

NPI: 1417076316
Provider Name: GARY FAMIGLIETTI, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1560 E MAPLE RD
SUITE 400 - CREDENTIALING DEPARTMENT
DETROIT, MI
ZIP 48201
Phone: (800) 527-6266
Get Directions

Gary Famiglietti, PA-C is a medical physician assistant in Detroit, MI. Gary Famiglietti, PA-C NPI is 1417076316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1560 E MAPLE RD
SUITE 400 - CREDENTIALING DEPARTMENT
DETROIT, MI
ZIP 48201-013
Phone: (800) 527-6266
Fax: (313) 576-8381

The NPI 1417076316 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), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 2/27/2017.

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
1	363AM0700X	Physician Assistant	Medical	5601001499	MICHIGAN	Yes

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: 4/28/2024

NPI Synchronization or Removal

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