Advanced Diabetes & Endocrine Center

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

19842 Issued in WV

Legal business name

ADVANCED DIABETES & ENDOCRINE CENTER

Practice address

527 Medical Park Drive
Suite 103
Bridgeport, WV 26330-9009

Phone

(304) 933-3864

Fax

(304) 933-3867

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

Syed N Haq, MDNPI 1881709970

Title

Owner

Phone

(304) 933-3864

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed N Haq, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Marble Falls, TX
  • NPI 1881709970

  Endocrinology, Diabetes & Metabolism

  NPD (past) Authorized official

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1659524635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DRIVE",
            "address_2": "SUITE 103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309009",
            "telephone_number": "304-933-3864",
            "fax_number": "304-933-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DRIVE",
            "address_2": "SUITE 103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309009",
            "telephone_number": "304-933-3864",
            "fax_number": "304-933-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIABETES & ENDOCRINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-933-3864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WV",
            "license": "19842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "19842",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan David Adams, ARNP, FNP-C
• Nathaniel J Adams, FNP
• Rayna Leste Adamy
• Marilyn K Aday, M.D.
• John A Adeniyi, M.D., F.A.C.S.
• Advanced Pain and Rehab Clinic
• Christina Beth Agostini, M.S.CFY-SLP
• Ags Inc
• Francisca Aguilar, DO
• James Lewis Akers

• All providers in Bridgeport, WV
• Endocrinology, Diabetes & Metabolism Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.