Mishr Endocrinology & Diabetes Clinic LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

35.041221 Issued in OH

Legal business name

MISHR ENDOCRINOLOGY & DIABETES CLINIC LLC

Practice address

306 Reichelderfer Rd
Cridersville, OH 45806-2252

Phone

(419) 645-4343

Fax

(419) 645-4443

NPI assigned

Aug 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Suman Kumar Mishr, MD

Title

President

Phone

(419) 645-4343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1548517527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 REICHELDERFER RD",
            "city": "CRIDERSVILLE",
            "state": "OH",
            "postal_code": "458062252",
            "telephone_number": "419-645-4343",
            "fax_number": "419-645-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 REICHELDERFER RD",
            "city": "CRIDERSVILLE",
            "state": "OH",
            "postal_code": "458062252",
            "telephone_number": "419-645-4343",
            "fax_number": "419-645-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHR ENDOCRINOLOGY & DIABETES CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "MISHR",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-645-4343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35.041221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlyn K Lauer, RPH
• Majestic Care of Cridersville LLC
• Lina Martin, DNP
• Theodore Adam Matheny
• Stephanie Rae Meyer
• Suman K Mishr, MD
• Amber Dawn Neumeier
• Katherine Nichols-Singer
• Otterbein Cridersville
• Otterbein Cridersville

• Medical Specialty Clinic/Center in Cridersville, OH
• Providers in Cridersville, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.