Thyroid & Diabetes Management Center LTD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

THYROID & DIABETES MANAGEMENT CENTER LTD

Practice address

8939 Broadway
Merrillville, IN 46410-7039

Phone

(219) 836-2022

NPI assigned

Aug 8, 2006

Last updated

Oct 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Longley, M.D.

Title

President

Phone

(219) 836-2022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1326058884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212807",
            "telephone_number": "219-836-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8939 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107039",
            "telephone_number": "219-836-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THYROID & DIABETES MANAGEMENT CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "LONGLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-836-2022",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100215590",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shakesha Thomas
• Laniyah Thompson
• Leaysia Thompson, RBT
• Terraann Thompson
• Kosin Thupvong, M.D.
• John Tierney, RBT
• Margaret Tierney, BA
• Matthew Jason Tipton, M.D.
• Beverly C. Titus, N.P.
• Jonnarda Tolbert

• Endocrinology, Diabetes & Metabolism Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Endocrinology, Diabetes & Metabolism Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.