Jose Peralta Digalo, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301032431 Issued in MI

Practice address

4150 River Rd
East China, MI 48054-2915

Phone

(810) 329-8870

Fax

(810) 329-6770

NPI assigned

Nov 14, 2005

Last updated

Jul 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jose Peralta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Henry Ford Health Macomb-Oakland Hospital

  dba Henry Ford Warren Hospital

  • Social Worker
  • Warren, MI
  • NPI 1548609761
  NPD (past)
• Henry Ford Health River District Hospital

  dba Henry Ford River District Hospital

  • Family Medicine Physician
  • Richmond, MI
  • NPI 1093823197

  Obstetrics & Gynecology

  NPD (past)
• Henry Ford Health River District Hospital

  dba Henry Ford River District Hospital

  • Family Medicine Physician
  • East China, MI
  • NPI 1265486245

  Obstetrics & Gynecology

  NPD (past)
• Henry Ford Semi Medical Group

  • Endocrinology, Diabetes & Metabolism Physician
  • Novi, MI
  • NPI 1114133485

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1750362067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43800 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381136",
            "telephone_number": "800-848-0202",
            "fax_number": "586-226-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 RIVER RD",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542915",
            "telephone_number": "810-329-8870",
            "fax_number": "810-329-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGALO",
        "first_name": "JOSE",
        "middle_name": "PERALTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301032431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "1028901",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4516051",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "PERALTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauri B. Conroy, M.D.
• Cassandra Cote
• Thomas C Dell, CRNA
• Lindi Gorinac Denny, PT
• George F Diehl, M.D.
• Penny Eagle
• Aaron R Ellis, M.D.
• Beth Falls, OTL
• Avery Anna Goulette, RBT
• Jessica Jo Grace, M.D.

• Obstetrics & Gynecology Physician in East China, MI
• Providers in East China, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.