NPIMap

Organization Active NPI

Mirich Medical Corporation

  • Cardiovascular Disease Physician
  • Merrillville, IN
National Provider Identifier
1013982420
Registry record updated Nov 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MIRICH MEDICAL CORPORATION
Practice address
8550 Broadway
Suite C
Merrillville, IN 46410-7032
Phone
(219) 769-3550
Fax
(219) 769-8604
NPI assigned
Feb 20, 2006
Last updated
Nov 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2009

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

Authorized official

Name
Dr. Ernest Carl Mirich, MDNPI 1831185800
Title
President
Phone
(219) 769-3550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X IN Primary

Addresses

Primary practice location

8550 Broadway
Suite C
Merrillville, IN 46410-7032

Mailing address

8550 Broadway
Suite C
Merrillville, IN 46410-7032
Phone (219) 769-3550

Other identifiers 1

IdentifierTypeStateIssuer
100440570AMedicaidIN

National Provider Directory

National Provider Directory

Locations

8550 Broadway
Ste C
Merrillville, IN 46410
Phone (219) 769-3550

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259193600000",
    "number": "1013982420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 BROADWAY",
            "address_2": "SUITE C",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-769-3550",
            "fax_number": "219-769-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 BROADWAY",
            "address_2": "SUITE C",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-769-3550",
            "fax_number": "219-769-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRICH MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2009-11-26",
        "status": "A",
        "authorized_official_last_name": "MIRICH",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-769-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100440570A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.