NPIMap

Organization Active NPI

U.S. Healthworks Medical Group of Indiana, PC

  • Urgent Care Clinic/Center
  • Warsaw, IN
National Provider Identifier
1083163273
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
U.S. HEALTHWORKS MEDICAL GROUP OF INDIANA, PC
Practice address
3151 E Center Street Ext
Warsaw, IN 46582-3901
Phone
(574) 267-3070
Fax
(574) 267-4813
NPI assigned
Sep 28, 2016
Last updated
Sep 28, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S HEALTHWORKS MEDICAL GROUP OF INDIANA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Mr. Joseph T Mallas
Title
President & Chief Executive Officer
Phone
(661) 678-2600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Occupational Medicine Physician 2083X0100X

Addresses

Primary practice location

3151 E Center Street Ext
Warsaw, IN 46582-3901

Mailing address

25124 Springfield CT
Suite 200
Valencia, CA 91355-1085
Phone (661) 678-2600

National Provider Directory

National Provider Directory
Tax ID family
US Healthworks Medical GR17 organizations share this tax ID, including this one
Part of
US Healthworks Medical GR

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

3151 E Center Street Ext
Warsaw, IN 46582
Phone (574) 267-3030

Practitioners & affiliated clinicians

Practitioners 2

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": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1083163273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25124 SPRINGFIELD CT",
            "address_2": "SUITE 200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551085",
            "telephone_number": "661-678-2600",
            "fax_number": "661-678-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 E CENTER STREET EXT",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465823901",
            "telephone_number": "574-267-3070",
            "fax_number": "574-267-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. HEALTHWORKS MEDICAL GROUP OF INDIANA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S HEALTHWORKS MEDICAL GROUP OF INDIANA, PC",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "MALLAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-678-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.