Active NPI
Frank a. Diponio Jr. D.O. P.C.
- Family Medicine Physician
- Warren, MI
National Provider Identifier
1295977007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- #5101014926
- Legal business name
- FRANK A. DIPONIO JR. D.O. P.C.
- Practice address
- 29250 Heritage Parkway
Warren, MI 48092 - Phone
- (586) 578-0124
- NPI assigned
- Mar 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank A. Diponio Jr., D.O.
- Title
- Physician/Owner
- Phone
- (586) 604-3596
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FD014926 | MI | |
| Family Medicine Physician | 207Q00000X | #5101014926 | MI | Primary |
Addresses
Primary practice location
29250 Heritage Parkway
Warren, MI 48092
Mailing address
PO Box 181038
Utica, MI 48318-1038
Phone (586) 604-3596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #08-0E00108-0 | Other | MI | BCBSM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257465600000",
"number": "1295977007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 181038",
"city": "UTICA",
"state": "MI",
"postal_code": "483181038",
"telephone_number": "586-604-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29250 HERITAGE PARKWAY",
"city": "WARREN",
"state": "MI",
"postal_code": "48092",
"telephone_number": "586-578-0124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANK A. DIPONIO JR. D.O. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-26",
"last_updated": "2009-11-06",
"status": "A",
"authorized_official_last_name": "DIPONIO",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "586-604-3596",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "FD014926",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "#5101014926",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "#08-0E00108-0",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.