NW INDIANA EP, LLC (NPI# 1346871217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346871217 |
| Entity Type | Organization |
| Organization Name | NW INDIANA EP, LLC |
| Practice Address |
7904 Cabela Dr Hammond IN 46324-2950 |
| Mailing Address |
6030 S Rice Ave Ste C Houston TX 77081-2944 |
| Practice Telephone | 7136600555 |
| Mailing Telephone | 7136600557 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | TOM VO (MANAGER) |
| Authorized Official Telephone | 7136600557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Street Address |
7904 CABELA DR |
| City | HAMMOND |
| State | IN |
| Zip Code | 46324-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174183024 | Northwest Indiana Hospital, LLC | General Acute Care Hospital | 7904 Cabela Dr., Hammond, IN 46324 | 2019-06-13 |
| 1679049779 | Secure Dental Viii | Dentist | 7905 Indianapolis Blvd, Indianan, IN 46324 | 2018-10-17 |
| 1710317615 | Christopher Keown-belous | Marriage & Family Therapist | 7030 Indianapolis Blvd, Hammond, IN 46324 | 2013-11-14 |
| 1316296114 | Planned Parenthood of Indiana Hammond | Clinic/Center | 7131 Indianapolis Blvd., Hammond, IN 46324 | 2012-09-07 |
| 1427343862 | Amanda Rose Popovich | Behavioral Analyst | 7110 Magoun Avenue, Hammond, IN 46324 | 2011-06-14 |
| 1588804751 | Tanesha Marnise Williams | Technician | 5831 Erie St, Hammond, IN 46324 | 2009-03-02 |
| 1417039652 | Debra Antoinette Petersen | Nurse Practitioner | 7131 Indianapolis Blvd, Hammond, IN 46324 | 2006-10-19 |
| 1568455467 | Elisabeth Cleary Shearon | Pathology | Alvero Clinical Laboratories, 3434 Interstate Plaza Dr, Hammond, IN 46324 | 2005-08-25 |
| 1578958278 | Aditya Shah | Family Medicine | 6920 Indianapolis Blvd, Hammond, IN 46324 | 2015-03-31 |
| 1770928509 | Hammond Dental Group LLC | Dentist | 6414 Calumet Ave, Hammond, IN 46324 | 2013-05-07 |
| Find all providers in zip 46324 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982645883 | Mary J Baladad | Emergency Medicine | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801383278 | Midwest Emergency Medicine, Inc. | Emergency Medicine | 520 S 7th Street, Er, Vincennes, IN 47591-1038 | 2018-04-20 |
| 1285994434 | Aaron Brooks Crofoot | Emergency Medicine | 229 W North Shore Dr, South Bend, IN 46617-1142 | 2012-05-22 |
| 1689842262 | James Scott Frasure | Emergency Medicine | 4030 W Breezewood Ct, Bloomington, IN 47404-9132 | 2008-02-15 |
| 1831290956 | Suzanne M Coleman | Emergency Medicine | 3124 E State Blvd Ste 2b, Fort Wayne, IN 46805-4763 | 2006-09-25 |
| 1194772681 | Paula Lange | Emergency Medicine | 3252 Tantara Bnd, Carmel, IN 46032-8733 | 2006-05-28 |
| 1982658886 | Robert L Goddard Jr. | Emergency Medicine | 817 W Rosewood Dr, Bloomington, IN 47404-1849 | 2006-05-22 |
| 1295796985 | Thomas S Spencer | Emergency Medicine | 104 E Culver Rd, Suite 103, Knox, IN 46534-2216 | 2006-03-31 |
| 1609844166 | Joseph V Lazzara | Emergency Medicine | 8633 N State Road 550, Bruceville, IN 47516-6096 | 2006-03-10 |
| 1427048099 | Mark M Walsh | Emergency Medicine | 801 E Lasalle, Emergency Department, South Bend, IN 46617-2814 | 2005-10-25 |
| 1417558271 | Daviess County Hospital | Emergency Medicine | 1314 E Walnut St, Washington, IN 47501-2860 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
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| 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.