Organization Active NPI

Heritage Ear , Nose & Throat, Inc.

  • Specialist
  • Valparaiso, IN
National Provider Identifier
1093910226
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HERITAGE EAR , NOSE & THROAT, INC.
Practice address
1651 Thornapple Cir
Valparaiso, IN 46385-5496
Phone
(219) 462-9937
NPI assigned
Jun 18, 2007
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Mr. Haroon Naz
Title
Ceo
Phone
(219) 756-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1651 Thornapple Cir
Valparaiso, IN 46385-5496

Mailing address

PO Box 261
Valparaiso, IN 46384-0261
Phone (219) 476-0352

Other identifiers 2

IdentifierTypeStateIssuer
100209930AMedicaidIN
000000091423OtherINANTHEM BC/BS

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1651 Thornapple Cir
Valparaiso, IN 46385
Phone (219) 462-9937

Practitioners & affiliated clinicians

Practitioners 1

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1093910226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463840261",
            "telephone_number": "219-476-0352",
            "fax_number": "219-531-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 THORNAPPLE CIR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463855496",
            "telephone_number": "219-462-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE EAR , NOSE & THROAT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "NAZ",
        "authorized_official_first_name": "HAROON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-756-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100209930A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000091423",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.