John Jeffrey Italiano, DO - Family Medicine in Fruitport, MI

John Jeffrey Italiano, DO is a Family Medicine physician based in Fruitport, Michigan. John Jeffrey Italiano is licensed to practice in Michigan (license number 5101027462) and his current practice location is 3443 Farr Rd, Fruitport, Michigan. He can be reached at his office (for appointments etc.) via phone at (231) 672-2900.

NPI number for John Jeffrey Italiano is 1316681232 and his current mailing address is 1508 Bluebird Rd Apt 11, Grand Haven, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316681232.

Contact Information

John Jeffrey Italiano, DO
3443 Farr Rd,
Fruitport, MI 49415-8779
(231) 672-2900
Not Available



Physician's Profile

Full NameJohn Jeffrey Italiano
GenderMale
SpecialityFamily Medicine
Location3443 Farr Rd, Fruitport, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316681232
  • Provider Enumeration Date: 04/26/2022
  • Last Update Date: 02/20/2024

Medical Identifiers

Medical identifiers for John Jeffrey Italiano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316681232NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 5101027462 (Michigan)Secondary
207Q00000XFamily Medicine 5101027462 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Jeffrey Italiano is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John Jeffrey Italiano, DO
1508 Bluebird Rd Apt 11,
Grand Haven, MI 49417-9012

Ph: () -
John Jeffrey Italiano, DO
3443 Farr Rd,
Fruitport, MI 49415-8779

Ph: (231) 672-2900

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› Verified 7 days ago


Family Medicine Doctors in Fruitport, MI

Chase Burton,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-672-8284    
Dr. Kristen Kay Woods, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-672-2900    Fax: 231-672-2901
Nathan Dills, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-672-2900    
Fizza Agha, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-727-5209    
Lauren Mcgraw, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-672-2900    
Kristina Powell,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-672-2900    
Dominic Klosowski,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-672-2900    

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