DEMELLO MEDICAL CLINIC – NPI #1528145935
Otolaryngology

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

DEMELLO MEDICAL CLINIC is an otolaryngologist located in CILNTON TOWNSHIP, MI. NPPES has assigned the NPI number 1528145935 to DEMELLO MEDICAL CLINIC on November 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery

The NPI profile was previously updated about 13 years ago on Oct 15, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEMELLO MEDICAL CLINIC below.

NPI Profile for
DEMELLO MEDICAL CLINIC

NPI Number
1528145935
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEMELLO MEDICAL CLINIC
Primary location
39379 GARFIELD RD
CILNTON TOWNSHIP, MI 48038
Phone: (586) 228-0600 Fax: (586) 228-1839
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID DEMELLO
OWNER
Phone: (586) 228-0600
Updated
Identifiers

Identifiers for DEMELLO MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI4939290
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0905X
- Otolaryngology / Otolaryngology/Facial Plastic Surgery (Primary)
MI DD007358

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.