Eastside CT

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

EASTSIDE CT

Practice address

1198 N Belsay Rd BLDG 2
Burton, MI 48509-1669

Phone

(810) 743-9130

Fax

(810) 743-3202

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter K. McLeod, M.D.

Title

Secretary

Phone

(810) 743-9130

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609951870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 N BELSAY RD BLDG 2",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091669",
            "telephone_number": "810-743-9130",
            "fax_number": "810-743-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 N BELSAY RD BLDG 2",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091669",
            "telephone_number": "810-743-9130",
            "fax_number": "810-743-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE CT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "810-743-9130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER CODE",
            "identifier": "O B5 6177",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS PROVIDER NO.",
            "identifier": "3078222",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lois Elizabeth Dumas
• Samiyah Dupree
• Shannon Dyszlewski
• Early Solutions Clinic, LLC
• Terrell W Eason, O.D.
• Nicole Edgar
• Daniel Steven Eisinger, DDS
• Michael Duane Eisinger, D.D.S.
• Khaled S El-Ganainy, DC
• Elite Provider Group PC

• Diagnostic Ultrasound Physician in Burton, MI
• Providers in Burton, MI by specialty
• Diagnostic Ultrasound Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.