INDIANA PHLEBOLOGY PC (NPI# 1962508853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962508853 |
| Entity Type | Organization |
| Organization Name | INDIANA PHLEBOLOGY PC |
| Practice Address |
371 E 84th Dr Ste 371 Merrillville IN 46410-6484 |
| Mailing Address |
2001 Butterfield Rd Ste 300 Downers Grove IL 60515-1069 |
| Practice Telephone | 2197367165 |
| Mailing Telephone | 6307252737 |
| Mailing Fax Number | 8772855883 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | DR. SEAN MCWILLIAMS (PRESIDENT) |
| Authorized Official Telephone | 6307252700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
IN | Allopathic & Osteopathic Physicians | |
| N | 202K00000X | Phlebology | IN | Allopathic & Osteopathic Physicians | |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
IN | Allopathic & Osteopathic Physicians | |
| Y | 208600000X | Surgery | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RAILROAD | DO6229 | 01 |
| Street Address |
371 E 84TH DR STE 371 |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-6484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831365758 | Hope-facs L.L.C. | Surgery | 1471 E 84th Pl, Merrillville, IN 46410-6451 | 2008-04-30 |
| 1942479985 | Paul Nyongani M.d.p.c. | Surgery | 6111 Harrison St Ste 252, Merrillville, IN 46410-2971 | 2008-02-25 |
| 1669535027 | Nicolas M Sanez | Surgery | 1479 E 84th Pl, Merrillville, IN 46410-6451 | 2006-12-18 |
| 1962565218 | Amead Atassi | Surgery | 206 E.86th Place, Merrillville, IN 46410 | 2006-12-18 |
| 1588750749 | Surgical Associates of Northwest Indiana, P.C. | Surgery | 101 E 87th Ave, Suite 420, Merrillville, IN 46410-7335 | 2006-10-05 |
| 1245290378 | Vimal B Pathak | Surgery | 1000 E 80th Place, Suite 308 South Tower, Merrillville, IN 46410 | 2006-03-24 |
| 1912994773 | Dennis Lynn Streeter | Surgery | 300 W 80th Pl, Suite A, Merrillville, IN 46410-5456 | 2005-10-05 |
| 1154329969 | Rafaelito T Legaspi | Surgery | 7725 Broadway (no Longer Valid), B1, Merrillville, IN 46410-4787 | 2005-07-14 |
| 1639405509 | Medical Surgical Wellness Center, L.l.c | Surgery | 300 W 80th Pl, Suite A, Merrillville, IN 46410-5456 | 2009-10-27 |
| 1538370846 | Sha-ron Jackson-johnson | Surgery | 101 E 87th Ave, Suite 420, Merrillville, IN 46410-7335 | 2007-05-25 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on INDIANA PHLEBOLOGY PC.
| 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.