Active NPI
Center for Cardiometabolic Treatment & Education, Inc.
- Specialist
- Kettering, OH
National Provider Identifier
1508959255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35052076
- Legal business name
- CENTER FOR CARDIOMETABOLIC TREATMENT & EDUCATION, INC.
- Practice address
- 3080 Ackerman Blvd Ste 220
Kettering, OH 45429-3658 - Phone
- (937) 294-3228
- Fax
- (937) 294-3250
- NPI assigned
- Oct 2, 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. Lawrence E Mieczkowski, MD
- Title
- President
- Phone
- (937) 294-3228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35052076 | OH | Primary |
Addresses
Primary practice location
3080 Ackerman Blvd Ste 220
Kettering, OH 45429-3658
Mailing address
3080 Ackerman Blvd Ste 220
Kettering, OH 45429-3658
Phone (937) 294-3228
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523232000000",
"number": "1508959255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3080 ACKERMAN BLVD STE 220",
"city": "KETTERING",
"state": "OH",
"postal_code": "454293658",
"telephone_number": "937-294-3228",
"fax_number": "937-294-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3080 ACKERMAN BLVD STE 220",
"city": "KETTERING",
"state": "OH",
"postal_code": "454293658",
"telephone_number": "937-294-3228",
"fax_number": "937-294-3250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR CARDIOMETABOLIC TREATMENT & EDUCATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2018-04-09",
"status": "A",
"authorized_official_last_name": "MIECZKOWSKI",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-294-3228",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OH",
"license": "35052076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.