Organization Active NPI

Valley Rheumatology Associates, PLLC

  • Rheumatology Physician
  • Saginaw, MI
National Provider Identifier
1417178179
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
CD077266 Issued in MI
Legal business name
VALLEY RHEUMATOLOGY ASSOCIATES, PLLC
Practice address
4701 Towne Centre Rd
Medical Arts #2 Suite 101
Saginaw, MI 48604-2834
Phone
(989) 791-4657
Fax
(989) 791-4651
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Carlos Diola, MD
Title
Owner
Phone
(989) 791-4657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X CD077266 MI Primary

Addresses

Primary practice location

4701 Towne Centre Rd
Medical Arts #2 Suite 101
Saginaw, MI 48604-2834

Mailing address

4701 Towne Centre Rd
Medical Arts #2 Ste 101
Saginaw, MI 48604-2834
Phone (989) 791-4657

Other identifiers 4

IdentifierTypeStateIssuer
4568334MedicaidMI
5043138OtherMIAETNA
BLUECARE NETWORKOtherMI1107310671
0990090OtherMIHEALTH PLUS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417178179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD",
            "address_2": "MEDICAL ARTS #2 STE 101",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042834",
            "telephone_number": "989-791-4657",
            "fax_number": "989-791-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD",
            "address_2": "MEDICAL ARTS #2 SUITE 101",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042834",
            "telephone_number": "989-791-4657",
            "fax_number": "989-791-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RHEUMATOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIOLA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-791-4657",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "CD077266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4568334",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5043138",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1107310671",
            "identifier": "BLUECARE NETWORK",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0990090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.