The Neuroclinic P C

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

01056291A Issued in IN

Legal business name

THE NEUROCLINIC P C

Practice address

130 Commerce SQ
Michigan City, IN 46360-3281

Phone

(219) 878-9870

Fax

(219) 878-9873

NPI assigned

Feb 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nasar M Katariwala, M.D.NPI 1356311310

Title

Owner

Phone

(219) 878-9870

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nasar Katariwala, M.D.

  • Neurology Physician
  • Michigan City, IN
  • NPI 1356311310
  Medicare reassignment Care Compare group Authorized official
• Carrie Yvonne Robison, FNP-BC

  • Family Nurse Practitioner
  • Michigan City, IN
  • NPI 1548789118
  Medicare reassignment Care Compare group
• Melissa Grcich, FNP-C

  • Family Nurse Practitioner
  • Valparaiso, IN
  • NPI 1033585518
  NPD (past)
• Jessica Ann Surma, RN, FNP-C

  • Family Nurse Practitioner
  • Michigan City, IN
  • NPI 1245071646
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1003955683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 COMMERCE SQ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603281",
            "telephone_number": "219-878-9870",
            "fax_number": "219-878-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 COMMERCE SQ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603281",
            "telephone_number": "219-878-9870",
            "fax_number": "219-878-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEUROCLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "KATARIWALA",
        "authorized_official_first_name": "NASAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-878-9870",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01056291A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200381990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Eaton DDS PC
• Samuel George Tambeaux, RDN, LDN
• Jeffrey Taylor, COTA
• The Foot and Ankle Clinics PC
• The Mindful Mind Therapeutic Counseling and Consultation Center LLC
• The People Movers L.L.C.
• The Sleep Center, LLC
• Jennifa K Thomas, NP
• Lisa K Thomas, NP
• Rachel Leanne Thompson, OTR/L

• Neurology Physician in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Neurology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.