Organization Active NPI

Iu Health Cardiology

  • Medical Specialty Clinic/Center
  • La Porte, IN
National Provider Identifier
1053663138
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
28173025A Issued in IN
Legal business name
IU HEALTH CARDIOLOGY
Practice address
901 Lincolnway
La Porte, IN 46350-3430
Phone
(219) 324-0014
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Shannon Hannon, MBA
Title
Manager
Phone
(219) 326-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 28173025A IN Primary

Addresses

Primary practice location

901 Lincolnway
La Porte, IN 46350-3430

Mailing address

901 Lincolnway
La Porte, IN 46350-3430
Phone (219) 324-0014

National Provider Directory

National Provider Directory

Locations

901 Lincolnway
Laporte, IN 46350
Phone (219) 325-8070

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1053663138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503430",
            "telephone_number": "219-324-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503430",
            "telephone_number": "219-324-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IU HEALTH CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "HANNON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "219-326-1234",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "28173025A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.