Provider Demographics
NPI:1306966700
Name:HASTINGS GYNECOLOGY & OBSTETRICS, P.C.
Entity type:Organization
Organization Name:HASTINGS GYNECOLOGY & OBSTETRICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:G
Authorized Official - Last Name:DINGES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-945-2162
Mailing Address - Street 1:1005 W GREEN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HASTINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49058-1712
Mailing Address - Country:US
Mailing Address - Phone:269-945-2162
Mailing Address - Fax:269-945-0220
Practice Address - Street 1:1005 W GREEN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HASTINGS
Practice Address - State:MI
Practice Address - Zip Code:49058-1712
Practice Address - Country:US
Practice Address - Phone:269-945-2162
Practice Address - Fax:269-945-0220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJD054854207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4210140Medicaid
MI2928734Medicaid
MIH22115Medicare UPIN
MI2928734Medicaid
MI4210140Medicaid