JAMES COTICCHIA M.D. P.C. NPI 1538568696

NPI Information

  • NPI: 1538568696
  • Provider Name: JAMES COTICCHIA, M.D., P.C.
  • Classification: Otolaryngology - 207YP0228X
  • Specialization: Pediatric Otolaryngology
  • Entity Type: Organization
  • Doing Business As: PEDIATRIC ENT CLINIC OF MICHIGAN
  • CLIA Number: 23D0956761
  • Address: 18181 OAKWOOD BLVD STE 202
    DEARBORN, MI
    ZIP 48124
  • Phone: (248) 652-2240

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NPI Details

JAMES COTICCHIA, M.D., P.C. is a pediatric otolaryngology otolaryngology in Dearborn, MI. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. JAMES COTICCHIA, M.D., P.C. NPI is 1538568696. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Ent Clinic Of Michigan.

The provider's business location address is:

18181 OAKWOOD BLVD STE 202
DEARBORN, MI
ZIP 48124-082
Phone: (248) 652-2240
Fax: (248) 659-1861

The provider's authorized official is James Coticchia .
The authorized official title is President and has the following contact phone number (248) 652-2240.

The CLIA number assigned to this NPI record is 23D0956761 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2014 and was last updated on 5/29/2015.

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
1207YP0228XOtolaryngologyPediatric Otolaryngology4301082703MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111043425001MEDICAIDMICHIGAN

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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