NPIMap

Organization Active NPI

Hesperia Medical Center

  • Family Medicine Physician
  • Hesperia, MI
National Provider Identifier
1063535805
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
009157 Issued in MI
Legal business name
HESPERIA MEDICAL CENTER
Practice address
78 N Division
Hesperia, MI 49421
Phone
(231) 854-6415
Fax
(231) 854-6975
NPI assigned
Apr 9, 2007
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Dianna L Brown, FNPNPI 1093820912
Title
Practice Manager
Phone
(231) 854-6415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 009157 MI Primary

Addresses

Primary practice location

78 N Division
Hesperia, MI 49421

Mailing address

78 N Division
PO Box 308
Hesperia, MI 49421
Phone (231) 854-6415

National Provider Directory

National Provider Directory
Tax ID family
Hesperia Medical Center15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1063535805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 N DIVISION",
            "address_2": "PO BOX 308",
            "city": "HESPERIA",
            "state": "MI",
            "postal_code": "49421",
            "telephone_number": "231-854-6415",
            "fax_number": "231-854-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 N DIVISION",
            "city": "HESPERIA",
            "state": "MI",
            "postal_code": "49421",
            "telephone_number": "231-854-6415",
            "fax_number": "231-854-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HESPERIA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "231-854-6415",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "009157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.