Organization Active NPI

Premier Hospitalist PC

  • Internal Medicine Physician
  • Gary, IN
National Provider Identifier
1093965501
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01049154 Issued in IN
Legal business name
PREMIER HOSPITALIST PC
Practice address
600 Grant St
Gary, IN 46402-6001
Phone
(708) 288-3452
Fax
(708) 401-0050
NPI assigned
Sep 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Emeric Palmer, MD
Title
Physician/Owner
Phone
(708) 288-3452

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 01049154 IN Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X 01049154 IN

Addresses

Primary practice location

600 Grant St
Gary, IN 46402-6001

Mailing address

PO Box 1047
Crown Point, IN 46308-1047
Phone (708) 288-3452

Other identifiers 1

IdentifierTypeStateIssuer
200289700MedicaidIN

National Provider Directory

National Provider Directory

Locations

5500 Hohman Ave
Ste 2C
Hammond, IN 46320
Phone (219) 933-9500

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1093965501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1047",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463081047",
            "telephone_number": "708-288-3452",
            "fax_number": "708-401-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRANT ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464026001",
            "telephone_number": "708-288-3452",
            "fax_number": "708-401-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOSPITALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "EMERIC",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "708-288-3452",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01049154",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01049154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200289700",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.