Internal Medicine Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTERNAL MEDICINE ASSOCIATES

Practice address

1005 W Green St
Suite 301
Hastings, MI 49058-1712

Phone

(269) 945-2419

Fax

(269) 945-0357

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven George Wildern, M.D.

Title

Owner

Phone

(269) 945-2419

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Internal Medicine Associates of Barry County, PLC Doing business as

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1104991207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W GREEN ST",
            "address_2": "SUITE 301",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581712",
            "telephone_number": "269-945-2419",
            "fax_number": "269-945-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W GREEN ST",
            "address_2": "SUITE 301",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581712",
            "telephone_number": "269-945-2419",
            "fax_number": "269-945-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "WILDERN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-945-2419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "CN0332",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1340544",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Associates of Barry County, PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah K Huber, LLPC
• Della Lee Hughes Carter, DNP, G.N.P. - B.C.
• Makenna G Hughes
• Konnor Lyn Hunt, DC
• Taylor Rose Hurt, NP
• Tiffany R Jackson, NP
• Elizabeth Jados
• James C. Peurach DDS, P.C.
• James L Weatherhead MD LLC
• Joseph Jandernoa

• Specialist in Hastings, MI
• Providers in Hastings, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.