Active NPI
Premier Hospitalist PC
- Internal Medicine Physician
- Gary, IN
National Provider Identifier
1093965501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01049154
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01049154 | IN | Primary |
| Hospitalist Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200289700 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
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.