NPIMap

Organization Active NPI

Diabetes Thyroid and Osteoporosis Clinic of Southern Illinois LTD

  • Endocrinology, Diabetes & Metabolism Physician
  • Swansea, IL
National Provider Identifier
1497793400
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
042616864 Issued in IL
Legal business name
DIABETES THYROID AND OSTEOPOROSIS CLINIC OF SOUTHERN ILLINOIS LTD
Practice address
1 Holly Ridge CT
Swansea, IL 62226
Phone
(618) 520-3003
Fax
(618) 277-3926
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Dr. Thomas F Tse, M.D.
Title
President
Phone
(618) 520-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 042616864 IL Primary

Addresses

Primary practice location

1 Holly Ridge CT
Swansea, IL 62226

Mailing address

1 Holly Ridge CT
Swansea, IL 62226-2322
Phone (618) 520-3003

Other names 1

  • THOMAS F TSE MD Doing business as

National Provider Directory

National Provider Directory

Locations

311 W Lincoln St
Ste 201
Belleville, IL 62220
Phone (618) 222-3200

Practitioners & affiliated clinicians

Practitioners 6

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1497793400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLY RIDGE CT",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262322",
            "telephone_number": "618-520-3003",
            "fax_number": "618-277-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOLLY RIDGE CT",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-520-3003",
            "fax_number": "618-277-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES THYROID AND OSTEOPOROSIS CLINIC OF SOUTHERN ILLINOIS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "TSE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-520-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "042616864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THOMAS F TSE MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.