MEDICAL SPECIALISTS INC., PC (NPI# 1922330505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922330505 |
| Entity Type | Organization |
| Organization Name | MEDICAL SPECIALISTS INC., PC |
| Other Organization Name | MEDICAL SPECIALISTS |
| Practice Address |
919 Main St Ste 102 Dyer IN 46311-3717 |
| Mailing Address |
757-45th Street Ste 201 Munster IN 46321 |
| Practice Telephone | 2199342492 |
| Practice Fax Number | 2199342493 |
| Mailing Telephone | 2199342461 |
| Mailing Fax Number | 2199342478 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2011-02-28 |
| Authorized Official Name | ALEXANDER A STEMER (PRESIDENT & CEO) |
| Authorized Official Telephone | 2199342461 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
IN | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | IN | Allopathic & Osteopathic Physicians | |
| Y | 207R00000X | Internal Medicine | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100157820 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568794147 | Medical Specialists Inc., PC | Dermatology | 10200 Wicker Ave, Saint John, IN 46373-9439 | 2010-02-05 |
| 1659603231 | Medical Specialists Inc., PC | Pediatrics | 1950-45th Street, Ste 201, Munster, IN 46321 | 2010-02-05 |
| 1013249697 | Medical Specialists Inc., PC | Internal Medicine | 5529 Hohman Ave, Hammond, IN 46320-1936 | 2010-02-05 |
| 1003148685 | Medical Specialists Inc., PC | Orthopaedic Surgery | 9034 Columbia Ave, Munster, IN 46321-2905 | 2010-02-05 |
| Street Address |
919 MAIN ST STE 102 |
| City | DYER |
| State | IN |
| Zip Code | 46311-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982691804 | Francisco X Tamayo | Internal Medicine | 919 Main St, Suite 202, Dyer, IN 46311-3717 | 2005-10-05 |
| 1396053641 | Erin Bartels | Physician Assistant | 919 Main St, Ste. 204, Dyer, IN 46311-3717 | 2010-09-21 |
| 1528028693 | Cheryl L Anthony Worix | Internal Medicine | 919 Main St, Ste 102, Dyer, IN 46311-3717 | 2006-03-24 |
| 1508826678 | Kathryn H Mulligan | Internal Medicine | 919 Main St, Ste 102, Dyer, IN 46311-3717 | 2006-03-24 |
| 1689634750 | Marc Hamburg | Obstetrics & Gynecology | 919 Main St, Ste 101, Dyer, IN 46311-3717 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508423799 | Priority Health, Pllc | Internal Medicine | 486 Bells Chapel Rd, Dyer, TN 38330-3028 | 2019-05-22 |
| 1144693177 | Community House Call Services LLC | Internal Medicine | 905 Joliet St, Dyer, IN 46311-1922 | 2015-11-13 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| 1497884027 | Huma Tazeem Mulk | Internal Medicine | 932 Richard Rd, Dyer, IN 46311-1936 | 2007-03-02 |
| 1578604567 | Herbert White Jr. | Internal Medicine | 879 Joliet St, #184, Dyer, IN 46311-1920 | 2007-02-11 |
| 1104168558 | Vladimir Selounski | Internal Medicine | 24 Joliet St, Dyer, IN 46311-1705 | 2013-03-25 |
| 1598027153 | John Frederick | Internal Medicine | 24 Joliet St Ste 101, Dyer, IN 46311 | 2012-06-11 |
| 1285909382 | Abdulrahman Baig | Internal Medicine | 24 Joliet St Ste 101, Dyer, IN 46311-1705 | 2012-03-21 |
| 1396031191 | Hong Yang | Internal Medicine | 24 Joliet St, Dyer, IN 46311 | 2011-06-21 |
| 1487975900 | Medina Healthcare Sc | Internal Medicine | 932 Richard Rd, Dyer, IN 46311-1936 | 2010-06-18 |
| Find all providers in DYER | ||||
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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.