Organization Active NPI

Michiana Regional Sleep Disorders Center P.C.

  • Sleep Medicine (Internal Medicine) Physician
  • Saint Joseph, MI
National Provider Identifier
1841344702
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
5101008659 Issued in MI
Legal business name
MICHIANA REGIONAL SLEEP DISORDERS CENTER P.C.
Practice address
3902 Stonegate Park
Saint Joseph, MI 49085-9130
Phone
(269) 983-3690
Fax
(269) 982-5101
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Robert L. Piasecki, DO
Title
President
Phone
(269) 983-3690

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 5101008659 MI Primary
Sleep Medicine (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0012X 4301070920 MI
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X 5101009750 MI

Addresses

Primary practice location

3902 Stonegate Park
Saint Joseph, MI 49085-9130

Mailing address

3902 Stonegate Park
Saint Joseph, MI 49085-9130
Phone (269) 983-3690

Other identifiers 1

IdentifierTypeStateIssuer
700A110350OtherMIBCBSM CPC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1841344702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 STONEGATE PARK",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859130",
            "telephone_number": "269-983-3690",
            "fax_number": "269-982-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 STONEGATE PARK",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859130",
            "telephone_number": "269-983-3690",
            "fax_number": "269-982-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA REGIONAL SLEEP DISORDERS CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "PIASECKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-983-3690",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "5101008659",
            "primary": true
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "MI",
            "license": "4301070920",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MI",
            "license": "5101009750",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM CPC",
            "identifier": "700A110350",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.