Active NPI
Fred Adler, M.D., P.C.
- Health Service Clinic/Center
- Munster, IN
National Provider Identifier
1093971343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 01019251A
- Legal business name
- FRED ADLER, M.D., P.C.
- Practice address
- 800 Macarthur Blvd
Suite 2
Munster, IN 46321-2917 - Phone
- (219) 836-4000
- Fax
- (219) 836-4001
- NPI assigned
- Aug 5, 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
- Dr. Fred Adler, M.D.
- Title
- Owner
- Phone
- (219) 836-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 01019251A | IN | Primary |
Addresses
Primary practice location
800 Macarthur Blvd
Suite 2
Munster, IN 46321-2917
Mailing address
800 Macarthur Blvd
Suite 2
Munster, IN 46321-2917
Phone (219) 836-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100325160A | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1093971343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MACARTHUR BLVD",
"address_2": "SUITE 2",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212917",
"telephone_number": "219-836-4000",
"fax_number": "219-836-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MACARTHUR BLVD",
"address_2": "SUITE 2",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212917",
"telephone_number": "219-836-4000",
"fax_number": "219-836-4001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED ADLER, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "ADLER",
"authorized_official_first_name": "FRED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-836-4000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "IN",
"license": "01019251A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100325160A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.