Organization Active NPI

Sheree L. Peglow MD PC

  • Infectious Disease Physician
  • South Bend, IN
National Provider Identifier
1972696391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
50004043 Issued in IN
Legal business name
SHEREE L. PEGLOW MD PC
Practice address
707 N Michigan St Ste 314
South Bend, IN 46601-1070
Phone
(574) 234-5938
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sheree L. Peglow, M.D.
Title
President
Phone
(574) 234-5938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 50004043 IN Primary

Addresses

Primary practice location

707 N Michigan St Ste 314
South Bend, IN 46601-1070

Mailing address

707 N Michigan St Ste 314
South Bend, IN 46601-1070
Phone (574) 234-5938

National Provider Directory

National Provider Directory

Locations

215 W 4th St
Mishawaka, IN 46544
Phone (219) 259-2431

707 N Michigan St
Ste 314
South Bend, IN 46601
Phone (219) 234-5938

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972696391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N MICHIGAN ST STE 314",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011070",
            "telephone_number": "574-234-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MICHIGAN ST STE 314",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011070",
            "telephone_number": "574-234-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEREE L. PEGLOW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEGLOW",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-234-5938",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "50004043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • 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.