Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Diane B Ebaugh, MD

Individual provider Family Medicine Physician · NPI 1215997796

Dr. Diane B Ebaugh, MD is a Family Practice in Hastings, Michigan. Graduated from Wayne State University School of Medicine in 1981, 45 years ago. Practices with Thornapple Valley Family Physicians PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
45
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1005 W Green St Ste 304
Hastings, MI 49058-1712
Phone: (269) 948-8057
Fax: (269) 948-8964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DE046093 (MI)

Record details

NPI number1215997796
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 27, 2006
Last updated in NPPESFebruary 19, 2016
Mailing address1005 W Green St, Suite 304, Hastings, MI 49058-1712

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice Thornapple Valley Family Physicians Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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