Linda Sirugo, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01035023 Issued in IN

Legal business name

LINDA SIRUGO, MD, PC

Practice address

800 Lincolnway
Suite 301
La Porte, IN 46350-3438

Phone

(219) 324-2229

Fax

(219) 324-2229

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Linda S Sirugo, MD

Title

Owner

Phone

(219) 324-2229

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1104096957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LINCOLNWAY",
            "address_2": "SUITE 301",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503438",
            "telephone_number": "219-324-2229",
            "fax_number": "219-324-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LINCOLNWAY",
            "address_2": "SUITE 301",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503438",
            "telephone_number": "219-324-2229",
            "fax_number": "219-324-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA SIRUGO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "SIRUGO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-324-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01035023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100164100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in La Porte, IN
• Providers in La Porte, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.