Diana Ennes, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4301044652 Issued in MI

Practice address

110 Beech St
Tawas City, MI 48763-8314

Phone

(989) 362-9859

Fax

(989) 362-9862

NPI assigned

Oct 11, 2005

Last updated

Aug 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Verde Valley Medical Center

  • General Acute Care Hospital
  • Cottonwood, AZ
  • NPI 1346291648
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1508854860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640779",
            "telephone_number": "989-362-9859",
            "fax_number": "989-362-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BEECH ST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487638314",
            "telephone_number": "989-362-9859",
            "fax_number": "989-362-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNES",
        "first_name": "DIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301044652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370220",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Dienes, LMSW
• Robert L Donnell, MD
• Sherry Donovan, CRNA
• Steven Dowdy, DO
• Coleen Dziurlikowski, LLPC
• Danielle Kristine Eno, LLPC
• Lori Enos
• Glen Enzenberger, DO
• Ryan Thomas Fahy, DO
• Fairview Chiropractic PLLC

• Orthopaedic Surgery Physician in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.