Julian Ungar-Sargon MD PHD
Organization Active NPI Neurology Physician · Rensselaer, IN
NPI 1104197326 · NPPES record last updated Jun 29, 2018
Key facts
- NPI
- 1104197326
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 01040129A (IN)
- Legal business name
- JULIAN UNGAR-SARGON MD PHD
- Practice address
- 123 S McKinley Ave
Rensselaer, IN 47978 - Phone
- (219) 866-7222
- Fax
- (219) 866-7001
- NPI assigned
- Jan 19, 2012
- Organization subpart
- No
Authorized official
- Name
- Julian Y Ungar-Sargon, MD, PHD
- Title
- Owner / MD
- Phone
- (219) 866-7222
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | 01040129A | IN | Yes |
| Pain Medicine Physician |
208VP0000X | 01040129A | IN | |
| Interventional Pain Medicine Physician |
208VP0014X | 01040129A | IN |
Addresses
Primary practice location
123 S McKinley Ave
Rensselaer, IN 47978
Mailing address
123 S McKinley Ave
Rensselaer, IN 47978-2949
Phone (219) 866-7222
Other practice location 1
130 Professional Ct Ste D
Lafayette, IN 47905-5153
Phone (765) 446-8888
Other practice location 2
255 E 90th Dr Ste W3
Merrillville, IN 46410-8145
Phone (219) 756-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200210770 | Medicaid | IN |
Other names
- Neurology and Pain Management
Other providers in Rensselaer, IN
- Jasper County Hospital
- Stephen Layne Jennings
- Rachel L Johnson
- Sharon A Johnson
- Jordan J Balvich, DMD, PC
- Keeney Ambulance & Transport Service LLC
- Karen Sue Ketchem
- Kim Moyer OD PC
- Klockow PC
- Nicole Sydney Krol
All providers in Rensselaer, IN · Neurology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.