Organization Active NPI

Diabetes, Thyroid & Endocrinology Clinic PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Canton, MI
National Provider Identifier
1659760361
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
43010923535 Issued in MI
Legal business name
DIABETES, THYROID & ENDOCRINOLOGY CLINIC PLLC
Practice address
1600 S Canton Center Rd
Suite 2200
Canton, MI 48188-1992
Phone
(208) 891-5673
NPI assigned
Jan 19, 2015
Last updated
Feb 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Dr. Arqam Zia, M.D.NPI 1225028681
Title
Owner
Phone
(208) 891-5673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 43010923535 MI Primary

Addresses

Primary practice location

1600 S Canton Center Rd
Suite 2200
Canton, MI 48188-1992

Mailing address

1737 Crestview Dr
Canton, MI 48188-2044
Phone (208) 891-5673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150311001031 MI Part B Supplier - Clinic/Group Practice 2466778378 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MI

National Provider Directory

National Provider Directory

Locations

1600 S Canton Center Rd
#22
Canton, MI 48188
Phone (208) 891-5673

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1659760361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 CRESTVIEW DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882044",
            "telephone_number": "208-891-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S CANTON CENTER RD",
            "address_2": "SUITE 2200",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881992",
            "telephone_number": "208-891-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES, THYROID & ENDOCRINOLOGY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "ZIA",
        "authorized_official_first_name": "ARQAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-891-5673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "43010923535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.