NORTHWEST CENTER MEDICAL SERVICES CORP (NPI# 1235399726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235399726 |
| Entity Type | Organization |
| Organization Name | NORTHWEST CENTER MEDICAL SERVICES CORP |
| Practice Address |
3400 Broadway Gary IN 46408-1101 |
| Practice Telephone | 2199806699 |
| Practice Fax Number | 2199806693 |
| Mailing Telephone | 2199806699 |
| Mailing Fax Number | 2199806693 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | DAWN ILGENFRITZ (SECRETARY, BOARD OF DIRECTORS) |
| Authorized Official Telephone | 2199806699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
01034266A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100471020A | 05 |
| Street Address |
3400 BROADWAY |
| City | GARY |
| State | IN |
| Zip Code | 46408-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912067349 | Indiana University Northwest | Dentist | 3400 Broadway, Gary, IN 46408-1101 | 2006-12-08 |
| 1669742565 | Stephanie Lynn Smith | Specialist/Technologist | 3400 Broadway, Savannah Center 217, Gary, IN 46408-1101 | 2012-01-09 |
| 1437427507 | Mary Ann O Post | Genetic Counselor, MS | 3400 Broadway, Indiana University Northwest, Gary, IN 46408-1197 | 2011-12-05 |
| 1942488754 | Northwest Center Medical Services Corp. | Medical Genetics | 3400 Broadway, Gary, IN 46408-1101 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275788 | Brynn T Shelton | Home Health Aide | 4138 Ruthledge St, Gary, IN 46408 | 2017-06-27 |
| 1306243027 | Around The Clock Transportation | Non-emergency Medical Transport (VAN) | 3979 Cleveland St, Gary, IN 46408 | 2014-11-24 |
| 1710900956 | Home Health Services Inc | Home Health | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1023031978 | Nkechi Pauline Onyeukwu | Nurse Practitioner | 3814 Grant Street, Gary, IN 46408 | 2006-07-25 |
| 1093724007 | Geoffrey Okechukwu Onyeukwu | Family Medicine | 3814 Grant Street, Gary, IN 46408 | 2006-08-07 |
| 1629091863 | Home Health Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1952364648 | Trc - Indiana LLC | Clinic/Center | 4802 Broadway, Gary, IN 46408 | 2006-04-11 |
| 1073510244 | Broadway Foot Clinic Corporation | Podiatrist | 3290 Grant St, Suite 108, Gary, IN 46408-1015 | 2005-07-03 |
| 1205180676 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2012-11-06 |
| 1194830935 | Everest Healthcare Indiana, Inc. | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2006-08-20 |
| Find all providers in zip 46408 | ||||
| Taxonomy Code | 207SC0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Cytogenetic |
| A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. A general certificate was first issued by the ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932304326 | Mary Margaret Davis | Medical Genetics | 2560 N Shadeland Ave Ste A, Indianapolis, IN 46219-1706 | 2007-06-18 |
| 1689654204 | Janice Zunich | Medical Genetics | Community Diagnostic Center, 10020 Donald Powers Dr., Munster, IN 46321 | 2006-01-19 |
| 1649236217 | Gail H Vance | Medical Genetics | 975 W Walnut St, Ib 130, Indianapolis, IN 46202-5181 | 2006-04-24 |
Please comment or provide details below to improve the information on NORTHWEST CENTER MEDICAL SERVICES CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.