Northern Michigan Endocrine PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

4301063746 Issued in MI

Legal business name

NORTHERN MICHIGAN ENDOCRINE PLLC

Practice address

1200 West North Down River Rd
Suite B
Grayling, MI 49738

Phone

(989) 745-6601

Fax

(989) 745-6605

NPI assigned

Jul 3, 2014

Last updated

Sep 10, 2014By 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. Bashar Kiami,MD, MD

Title

Owner

Phone

(989) 745-6601

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1629484290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WEST NORTH DOWN RIVER RD",
            "address_2": "SUITE B",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "49738",
            "telephone_number": "989-745-6601",
            "fax_number": "989-745-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WEST NORTH DOWN RIVER RD",
            "address_2": "SUITE B",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "49738",
            "telephone_number": "989-745-6601",
            "fax_number": "989-745-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN ENDOCRINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "KIAMI,MD",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-745-6601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301063746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4174554",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Windy Near
• Karen L. Neigh, R.D.
• Nestor M Guno MD PC (Dba Northern Care Clinic)
• Joanna Lynne Nigrelli, D.O.
• Phillip James Niklowicz
• Northern Mitten Women and Childrens Center
• Vishnu Nutakki, MD
• Ralph Carl Oppermann III, D.D.S.
• Susan Owens
• Kelly Joanne Palmer-Johnson

• Medical Specialty Clinic/Center in Grayling, MI
• Providers in Grayling, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.