Organization Active NPI

Skin Cancer Care Center, LLC

  • Multi-Specialty Clinic/Center
  • Dyer, IN
National Provider Identifier
1083995914
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SKIN CANCER CARE CENTER, LLC
Practice address
919 Main Street
Dyer, IN 46311-3717
Phone
(219) 934-2495
NPI assigned
Sep 6, 2011
Last updated
Sep 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Alexander A Stemer, MDNPI 1861451429
Title
Manager
Phone
(219) 934-2461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

919 Main Street
Dyer, IN 46311-3717

Mailing address

757- 45TH Street
Munster, IN 46321-2893
Phone (219) 934-2461

National Provider Directory

National Provider Directory

Locations

757 45th St
Munster, IN 46321

Practitioners & affiliated clinicians

Practitioners 4

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": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1083995914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757- 45TH STREET",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212893",
            "telephone_number": "219-934-2461",
            "fax_number": "219-934-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MAIN STREET",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113717",
            "telephone_number": "219-934-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "STEMER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "219-934-2461",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.