Organization Active NPI

Dr Daniel G Reum DO PC

  • Urology Physician
  • Ludington, MI
National Provider Identifier
1669672549
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5101008973 Issued in MI
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2687603MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.