Organization Active NPI

Endocrine Treatment Centers, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Lincoln, RI
National Provider Identifier
1104934652
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD07593 Issued in RI
Legal business name
ENDOCRINE TREATMENT CENTERS, INC.
Practice address
2 Wake Robin Rd
Suite 207
Lincoln, RI 02865-4295
Phone
(401) 334-2242
Fax
(401) 334-0376
NPI assigned
Aug 25, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Michael David Hein, M.D.
Title
President and Ceo
Phone
(401) 334-2242

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X MD07593 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

2 Wake Robin Rd
Suite 207
Lincoln, RI 02865-4295

Mailing address

2 Wake Robin Rd
Suite 207
Lincoln, RI 02865-4295
Phone (401) 334-2242

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
469080270OtherRIMEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2015.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1104934652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WAKE ROBIN RD",
            "address_2": "SUITE 207",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654295",
            "telephone_number": "401-334-2242",
            "fax_number": "401-334-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WAKE ROBIN RD",
            "address_2": "SUITE 207",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654295",
            "telephone_number": "401-334-2242",
            "fax_number": "401-334-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE TREATMENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "HEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "401-334-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "RI",
            "license": "MD07593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "469080270",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.