Active NPI
Diabetes Osteoporosis Thyroid Endocrine Center, LLC
- Endocrinology, Diabetes & Metabolism Physician
- Mount Pleasant, WI
National Provider Identifier
1679735997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 41940020
- Legal business name
- DIABETES OSTEOPOROSIS THYROID ENDOCRINE CENTER, LLC
- Practice address
- 1532 S Green Bay Rd Ste 300
Mount Pleasant, WI 53406-4410 - Phone
- (262) 619-3473
- Fax
- (262) 619-3473
- NPI assigned
- Jun 27, 2008
- 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. Julie Hardy
- Title
- Office Manager
- Phone
- (262) 619-3473
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 41940020 | WI | Primary |
Addresses
Primary practice location
1532 S Green Bay Rd Ste 300
Mount Pleasant, WI 53406-4410
Mailing address
4077 Lighthouse Dr
Racine, WI 53402-3113
Phone (262) 619-3473
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Racine, WI
- NPI 1386759389
Endocrinology, Diabetes & Metabolism
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420156800000",
"number": "1679735997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4077 LIGHTHOUSE DR",
"city": "RACINE",
"state": "WI",
"postal_code": "534023113",
"telephone_number": "262-619-3473",
"fax_number": "262-619-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 S GREEN BAY RD STE 300",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534064410",
"telephone_number": "262-619-3473",
"fax_number": "262-619-3473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIABETES OSTEOPOROSIS THYROID ENDOCRINE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-27",
"last_updated": "2015-01-02",
"status": "A",
"authorized_official_last_name": "HARDY",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "262-619-3473",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WI",
"license": "41940020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.