Active NPI
Diabetes, Thyroid & Endocrinology Clinic PLLC
- Endocrinology, Diabetes & Metabolism Physician
- Canton, MI
National Provider Identifier
1659760361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 43010923535
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arqam Zia, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Canton, MI
- NPI 1225028681
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.