Organization Active NPI

Thoracic Surgery Institute of Southwest Michigan PLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Battle Creek, MI
National Provider Identifier
1669791083
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
TG013146 Issued in MI
Legal business name
THORACIC SURGERY INSTITUTE OF SOUTHWEST MICHIGAN PLC
Practice address
2845 Capital Ave SW
Suite 115
Battle Creek, MI 49015-4185
Phone
(269) 441-0444
Fax
(269) 441-0440
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Dr. Tammy L Gleeson, D.O.
Title
Member
Phone
(269) 441-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X TG013146 MI Primary

Addresses

Primary practice location

2845 Capital Ave SW
Suite 115
Battle Creek, MI 49015-4185

Mailing address

2845 Capital Ave SW
Suite 115
Battle Creek, MI 49015-4185
Phone (269) 441-0444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1669791083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 CAPITAL AVE SW",
            "address_2": "SUITE 115",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154185",
            "telephone_number": "269-441-0444",
            "fax_number": "269-441-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 CAPITAL AVE SW",
            "address_2": "SUITE 115",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154185",
            "telephone_number": "269-441-0444",
            "fax_number": "269-441-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORACIC SURGERY INSTITUTE OF SOUTHWEST MICHIGAN PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "GLEESON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "269-441-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "TG013146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.