Organization Active NPI

Michiana Sleep & Pulmonary Associates P.C.

  • Pulmonary Disease Physician
  • Saint Joseph, MI
National Provider Identifier
1447313986
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5101008659 Issued in MI
Legal business name
MICHIANA SLEEP & PULMONARY ASSOCIATES P.C.
Practice address
3904 Stonegate Park
Saint Joseph, MI 49085-9130
Phone
(269) 982-5864
Fax
(269) 982-5113
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Dr. Robert L Piasecki, DO
Title
President
Phone
(269) 982-5864

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 5101008659 MI
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 5101008659 MI Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 5101008659 MI
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 5601004477 MI

Addresses

Primary practice location

3904 Stonegate Park
Saint Joseph, MI 49085-9130

Mailing address

3904 Stonegate Park
Saint Joseph, MI 49085-9130
Phone (269) 982-5864

Other identifiers 1

IdentifierTypeStateIssuer
115110074OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

820 Lester Ave
Ste 117
Saint Joseph, MI 49085
Phone (269) 982-5864

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1447313986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 STONEGATE PARK",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859130",
            "telephone_number": "269-982-5864",
            "fax_number": "269-982-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 STONEGATE PARK",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859130",
            "telephone_number": "269-982-5864",
            "fax_number": "269-982-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA SLEEP & PULMONARY ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "PIASECKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-982-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "5101008659",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "5101008659",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "5101008659",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004477",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "115110074",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.