Iron Bridge Diabetes & Endo

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

IRON BRIDGE DIABETES & ENDO

Practice address

1135 E Lakewood St
Suite 104
Springfield, MO 65810-2403

Phone

(417) 879-6364

Fax

(417) 879-6368

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ralph J Duda Jr., MD

Title

Owner

Phone

(417) 879-6364

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1306931423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 E LAKEWOOD ST",
            "address_2": "SUITE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102403",
            "telephone_number": "417-879-6364",
            "fax_number": "417-879-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E LAKEWOOD ST",
            "address_2": "SUITE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102403",
            "telephone_number": "417-879-6364",
            "fax_number": "417-879-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON BRIDGE DIABETES & ENDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "DUDA",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-879-6364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "16610",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "460002667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00266673",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000015170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrity Hospice of Southwest Missouri, Inc.
• Interlink Behavioral Services, P.C.
• Intrepid of Missouri, Inc.
• Melody Anne Ipock, PLPC
• Donna Marie Irish, APRN-BC, GNP
• Vanessa Lynne Irons, MA PLPC
• Sarah Grace Irwin, DNP
• Zachary Cole Irwin, DO
• Laura Isaacson, D.O.
• Dana Lee Ischay, MA

• Endocrinology, Diabetes & Metabolism Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Endocrinology, Diabetes & Metabolism Physician in Missouri

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