John M Adlard, MD
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Munster, IN
NPI 1063472124 · NPPES record last updated Dec 9, 2010
Key facts
- NPI
- 1063472124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 01028396 (IN)
- Practice address
- 761 45TH Street
Ste. 110
Munster, IN 46321-2893 - Phone
- (219) 922-3020
- Fax
- (219) 922-3023
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01028396 | IN | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Specialists | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
| Community Care Network Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 01028396 | IN | Yes |
Addresses
Primary practice location
761 45TH Street
Ste. 110
Munster, IN 46321-2893
Mailing address
757 45TH Street
Ste. 201
Munster, IN 46321-2911
Phone (219) 934-2461
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100188420A | Medicaid | IN |
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- Sara B. Adams
- Vijay Krishna Adavelly
- Anna Ejuile Adekugbe
- Jacquelyn Raquel Adley
- Adult and Pediatric Eye Specialists Corp
- Advanced Care Medical Specialists, P.C.
- Advanced Health Services, Inc.
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All providers in Munster, IN · Endocrinology, Diabetes & Metabolism Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.