Your Diabetes Endocrine Nutrition Group, Inc.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

35053498 Issued in OH

Legal business name

YOUR DIABETES ENDOCRINE NUTRITION GROUP, INC.

Practice address

8300 Tyler Blvd
Ste 102
Mentor, OH 44060-4217

Phone

(440) 266-5000

Fax

(440) 266-5004

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Daniel Weiss, M.D.

Title

President

Phone

(440) 266-5000

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1487890893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16101 SNOW RD",
            "address_2": "STE 102",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441422817",
            "telephone_number": "216-898-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 TYLER BLVD",
            "address_2": "STE 102",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604217",
            "telephone_number": "440-266-5000",
            "fax_number": "440-266-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DIABETES ENDOCRINE NUTRITION GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-266-5000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35053498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.weiss@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8300 Tyler Blvd",
            "address_2": "Ste 102",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440604217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kirsten Yoho, PHARMD, RPH
• Taylor Min Wan Yong, LISW
• Cheyenne C Young
• Kent Alan Young, PH D
• Serena Young, LISW-S
• Your Diabetes Endocrine Nutrition Group, LLC
• Jessica Yudin
• Elena Zagarskas, PSY.D.
• Rachel Anne Zallar, LPCC, LICDC
• Lucille E Zappitelli-Sason, C.N.P.

• Endocrinology, Diabetes & Metabolism Physician in Mentor, OH
• Providers in Mentor, OH by specialty
• Endocrinology, Diabetes & Metabolism Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.