Active NPI
Michiana Sleep & Pulmonary Associates P.C.
- Pulmonary Disease Physician
- Saint Joseph, MI
National Provider Identifier
1447313986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 5101008659
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 5101008659 | MI | |
| Pulmonary Disease Physician | 207RP1001X | 5101008659 | MI | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 5101008659 | MI | |
| Medical Physician Assistant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115110074 | Other | MI | BCBSM |
National Provider Directory
National Provider DirectoryLocations
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
- Stefan Meyering, D.O.
- Amber Rose Meyers
- Michael R & Sharie S Conard
- Michiana Regional Sleep Disorders Center P.C.
- Michiana Regional Sleep Disorders Center P.C.
- Michiana Spine, Sports & Occupational Rehab, PC
- Midwest Neurobehavioral Center PC
- Scott A Mihalik, P.A.-C.
- David Scott Miller, DDS
- Laura Miller
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.