Diabetes and Endocrinology Center of Southwest Michigan

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301076224 Issued in MI

Legal business name

DIABETES AND ENDOCRINOLOGY CENTER OF SOUTHWEST MICHIGAN

Practice address

3950 Hollywood Rd
Suite 284
Saint Joseph, MI 49085-9151

Phone

(269) 408-0990

Fax

(269) 408-0992

NPI assigned

Feb 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Geegan Middleton

Title

Executive Director

Phone

(269) 684-0259

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952373623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 HOLLYWOOD RD",
            "address_2": "SUITE 284",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859151",
            "telephone_number": "269-408-0990",
            "fax_number": "269-408-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 HOLLYWOOD RD",
            "address_2": "SUITE 284",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859151",
            "telephone_number": "269-408-0990",
            "fax_number": "269-408-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND ENDOCRINOLOGY CENTER OF SOUTHWEST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GEEGAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "269-684-0259"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301076224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benita Vanessa Desantiago
• Yvonne M. Desjardins
• Sharon Deskins, M.D.
• Nutan Ramakant Dharwadkar
• Monica H Dholakia, MD
• Claudia Kate Dibble, MS, OTR/L
• Emily Claire Dickinson, PA
• Diligent Healthcare LLC
• Abby Dill
• Briana Marie Dixon, M.A, LPC, CAADP

• Specialist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.