Organization Active NPI

Michiana Regional Sleep Disorders Center P.C.

  • Durable Medical Equipment & Medical Supplies
  • Saint Joseph, MI
National Provider Identifier
1083768451
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MICHIANA REGIONAL SLEEP DISORDERS CENTER P.C.
Practice address
3902 Stonegate Park
Saint Joseph, MI 49085-9130
Phone
(269) 983-3690
Fax
(269) 982-5101
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Robert L Piasecki, DO
Title
President
Phone
(269) 983-3690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3902 Stonegate Park
Saint Joseph, MI 49085-9130

Mailing address

3902 Stonegate Park
Saint Joseph, MI 49085-9130
Phone (269) 983-3690

Other identifiers 1

IdentifierTypeStateIssuer
540A11082OtherMIBCBSM DME

National Provider Directory

National Provider Directory

Locations

3902 Stonegate Park
Saint Joseph, MI 49085
Phone (269) 983-3690

820 Lester Ave
Ste 15B
Saint Joseph, MI 49085
Phone (269) 983-3690

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1083768451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 STONEGATE PARK",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859130",
            "telephone_number": "269-983-3690",
            "fax_number": "269-982-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 STONEGATE PARK",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859130",
            "telephone_number": "269-983-3690",
            "fax_number": "269-982-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA REGIONAL SLEEP DISORDERS CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "PIASECKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-983-3690",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM DME",
            "identifier": "540A11082",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.