Active NPI
Dr Daniel G Reum DO PC
- Urology Physician
- Ludington, MI
National Provider Identifier
1669672549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 5101008973
- Legal business name
- DR DANIEL G REUM DO PC
- Practice address
- 5 N Atkinson Dr
Suite 205
Ludington, MI 49431-2918 - Phone
- (231) 845-5069
- Fax
- (231) 845-1332
- NPI assigned
- Jul 19, 2007
- Last updated
- Nov 29, 2010
- 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
- Ms. Linda Korb
- Title
- Office Manager
- Phone
- (231) 845-5069
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 5101008973 | MI | Primary |
Addresses
Primary practice location
5 N Atkinson Dr
Suite 205
Ludington, MI 49431-2918
Mailing address
5 N Atkinson Dr
Suite 205
Ludington, MI 49431-2918
Phone (231) 845-5069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2687603 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
5 Atkinson Dr
Ste 205
Ludington, MI 49431
Phone (231) 843-3717
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Urology Physician
- Ludington, MI
- NPI 1144215104
-
- Family Nurse Practitioner
- Ludington, MI
- NPI 1154409027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290988800000",
"number": "1669672549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 N ATKINSON DR",
"address_2": "SUITE 205",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494312918",
"telephone_number": "231-845-5069",
"fax_number": "231-845-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 N ATKINSON DR",
"address_2": "SUITE 205",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494312918",
"telephone_number": "231-845-5069",
"fax_number": "231-845-1332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR DANIEL G REUM DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-19",
"last_updated": "2010-11-29",
"status": "A",
"authorized_official_last_name": "KORB",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "231-845-5069",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "5101008973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2687603",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ludington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.