Organization Active NPI

Franciscan Healthcare -Munster

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Munster, IN
National Provider Identifier
1083984132
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
010676508 Issued in IN
Legal business name
FRANCISCAN HEALTHCARE -MUNSTER
Practice address
7847 Calumet Ave
Munster, IN 46321-1213
Phone
(219) 836-7535
Fax
(219) 836-7540
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Authorized official

Name
Barb Greene
Title
President
Phone
(219) 922-4207

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X 01067650 IN
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X 010676508 IN Primary

Addresses

Primary practice location

7847 Calumet Ave
Munster, IN 46321-1213

Mailing address

7847 Calumet Ave
Munster, IN 46321-1213
Phone (219) 836-7535

Other identifiers 1

IdentifierTypeStateIssuer
200932940 CMedicaidIN

Other names 1

  • Franciscan Healthcare-Munster- Sleep Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Franciscan Health Munster4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

7905 Calumet Ave
#201
Munster, IN 46321
Phone (219) 836-7236

7905 Calumet Ave
#101
Munster, IN 46321
Phone (219) 836-0091

7847 Calumet Ave
#200
Munster, IN 46321
Phone (219) 836-7535

9800 Valparaiso Dr
#101
Munster, IN 46321
Phone (219) 934-9811

7905 Calumet Ave
#401
Munster, IN 46321
Phone (219) 836-7535

11355 W 97th Ln
#B
Saint John, IN 46373
Phone (219) 836-7238

11355 W 97th Ln
#A
Saint John, IN 46373
Phone (219) 836-7238

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1083984132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7847 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211213",
            "telephone_number": "219-836-7535",
            "fax_number": "219-836-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7847 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211213",
            "telephone_number": "219-836-7535",
            "fax_number": "219-836-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN HEALTHCARE -MUNSTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "BARB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-922-4207"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "IN",
            "license": "01067650",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "IN",
            "license": "010676508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200932940 C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Healthcare-Munster- Sleep Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.