CHRISTOPHER IACOBELLI MD PC (NPI# 1902199862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902199862 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHER IACOBELLI MD PC |
| Practice Address |
14272 N Fenton Rd Fenton MI 48430-1544 |
| Practice Telephone | 8107145100 |
| Practice Fax Number | 8107145101 |
| Mailing Telephone | 8107145100 |
| Mailing Fax Number | 8107145101 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2013-11-19 |
| Authorized Official Name | CHRISTOPHER IACOBELLI (SOLE MEMBER) |
| Authorized Official Telephone | 8107145100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301074411 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
14272 N FENTON RD |
| City | FENTON |
| State | MI |
| Zip Code | 48430-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467690131 | My Le Shaw | Ophthalmology | 14272 N Fenton Rd, Fenton, MI 48430-1544 | 2009-02-03 |
| 1750915393 | Eye Associates of Michigan, Plc | Ophthalmology | 14272 N Fenton Rd, Fenton, MI 48430-1544 | 2020-02-22 |
| 1558759183 | Primary Care Medicine, PC | Family Medicine | 14272 N Fenton Rd, Fenton, MI 48430-1544 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
| 1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
| 1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
| 1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
| 1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
| Find all providers in zip 48430 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328914 | Alegis Care - Michigan PC | Family Medicine | 1400 S Highway Dr Ste 200, Fenton, MO 63026-2281 | 2019-07-17 |
| 1518438688 | Flash Care Pllc | Family Medicine | 17100 Silver Pkwy Ste B, Fenton, MI 48430-3468 | 2018-12-16 |
| 1396163390 | Kyleigh Naismith | Family Medicine | 2420 Owen Rd Ste A, Fenton, MI 48430-3417 | 2014-04-07 |
| 1447492376 | Homebound Healthcare LLC | Family Medicine | 1076 Stone Bluff Dr, Fenton, MO 63026-8515 | 2009-03-24 |
| 1417079377 | Medcare Physician LLC | Family Medicine | 2117 Bentley Plaza, Fenton, MO 63026 | 2007-04-04 |
| 1811014491 | Joseph Lavern Trollman Jr. | Family Medicine | 201 E Caroline St, Fenton, MI 48430-2105 | 2007-03-26 |
| 1073670154 | Donna Smith Benford | Family Medicine | 1100 Torrey Rd Ste 300, Fenton, MI 48430-3327 | 2007-01-02 |
| 1194827857 | Susan H Longe | Family Medicine | 435 N Leroy St, Fenton, MI 48430-2731 | 2006-09-02 |
| 1235231077 | James S Garfield | Family Medicine | 17100 Silver Pkwy, Ste D, Fenton, MI 48430-3468 | 2006-09-02 |
| 1801998513 | Shawndra Latoya Brown-foote | Family Medicine | 128 Matrix Commons Dr, Fenton, MO 63026-2935 | 2006-09-02 |
| Find all providers in FENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.