Diabetes Thyroid and Endocrinology Center PL

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME78645 Issued in FL

Legal business name

DIABETES THYROID AND ENDOCRINOLOGY CENTER PL

Practice address

7414 Community CT
Hudson, FL 34667-7101

Phone

(727) 868-3200

Fax

(727) 868-3204

NPI assigned

Sep 10, 2008

Last updated

Apr 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Talal Faris, MDNPI 1598767634

Title

President

Phone

(727) 868-3200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIEABA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Talal Faris, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Hudson, FL
  • NPI 1598767634
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1619126059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7414 COMMUNITY CT",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677101",
            "telephone_number": "727-868-3200",
            "fax_number": "727-868-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7414 COMMUNITY CT",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677101",
            "telephone_number": "727-868-3200",
            "fax_number": "727-868-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES THYROID AND ENDOCRINOLOGY CENTER PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "FARIS",
        "authorized_official_first_name": "TALAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-868-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME78645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001069200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DO9834",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Christian Detlor
• Dana M Deupree, MD
• Anthony Sam Di Cecca, DO
• Peter Louis Di Martino, MD
• Diabetes Care Center, Inc.
• Dianne C. Wood Bcba
• Kirstie B Dicharry, APRN
• Daniel Esteban Diez, MD
• Deirdre Lila Diphillippo, COTA/L
• Tamar Ditzian, MS, CCC-SLP

• Endocrinology, Diabetes & Metabolism Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.