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THYROID & DIABETES MANAGEMENT CENTER LTD NPI 1326058884


NPI Information

NPI: 1326058884
Provider Name: THYROID & DIABETES MANAGEMENT CENTER LTD
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 15D0678969

Address:
8939 BROADWAY
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 836-2022
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THYROID & DIABETES MANAGEMENT CENTER LTD is an endocrinology and diabetes and metabolism internal medicine in Merrillville, IN. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. THYROID & DIABETES MANAGEMENT CENTER LTD NPI is 1326058884. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8939 BROADWAY
MERRILLVILLE, IN
ZIP 46410-039
Phone: (219) 836-2022

The provider's authorized official is Richard Longley .
The authorized official title is President and has the following contact phone number (219) 836-2022.

The CLIA number assigned to this NPI record is 15D0678969 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 10/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1709490MEDICARE PININDIANA
2100215590MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.