Active NPI
Three Rivers Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Three Rivers, MI
National Provider Identifier
1083973176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 750020
- Legal business name
- THREE RIVERS HEALTH ENDOCRINOLOGY
- Practice address
- 721 S Health Pkwy
Three Rivers, MI 49093-8352 - Phone
- (269) 278-1145
- Fax
- (269) 273-9611
- NPI assigned
- May 9, 2012
- Last updated
- May 9, 2012
- Organization subpart
- Yes
- Parent organization
- THREE RIVERS HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Russell
- Title
- Ceo/President
- Phone
- (269) 273-9601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 750020 | MI | Primary |
Addresses
Primary practice location
721 S Health Pkwy
Three Rivers, MI 49093-8352
Mailing address
721 S Health Pkwy
Three Rivers, MI 49093-8352
Phone (269) 278-1145
National Provider Directory
National Provider Directory- Part of
- Three Rivers Health Nutritional Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336521600000",
"number": "1083973176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 S HEALTH PKWY",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490938352",
"telephone_number": "269-278-1145",
"fax_number": "269-273-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 S HEALTH PKWY",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490938352",
"telephone_number": "269-278-1145",
"fax_number": "269-273-9611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE RIVERS HEALTH ENDOCRINOLOGY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THREE RIVERS HEALTH",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "269-273-9601"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MI",
"license": "750020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Three Rivers, MI
- Three Rivers Health Authority (Three Rivers Health Rehab Unit)
- Three Rivers Health Authority (Three Rivers Health)
- Three Rivers Health Authority (Veera J. Patel, MD - Internal Medicine)
- Three Rivers Health Authority (Three Rivers Health Homecare)
- Three Rivers Health Authority
- Three Rivers Health Nutritional Services
- Three Rivers Health System Inc (Three Rivers Health Endocrinology)
- Three Rivers Health System Inc (Family Wellness of Three Rivers)
- Three Rivers Health System, Inc (Three Rivers Health Family Care Three Rivers)
- Three Rivers Health System, Inc (Three Rivers Health Family, Internal Medicine and Womens Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.