Michael L Treece, MD, SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036056536 Issued in IL

Legal business name

MICHAEL L TREECE, MD, SC

Practice address

19 E Shawnee Dr
Murphysboro, IL 62966-7049

Phone

(618) 684-3342

Fax

(618) 684-5647

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Devra Lane Treece

Title

Guardian

Phone

(618) 534-5962

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1659476828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E SHAWNEE DR",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629667049",
            "telephone_number": "618-684-3342",
            "fax_number": "618-684-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E SHAWNEE DR",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629667049",
            "telephone_number": "618-684-3342",
            "fax_number": "618-684-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L TREECE, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "TREECE",
        "authorized_official_first_name": "DEVRA",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "GUARDIAN",
        "authorized_official_telephone_number": "618-534-5962",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036056536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Murphysboro, IL
• Providers in Murphysboro, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.