Organization Active NPI

Prinn K Stang MD

  • Obstetrics & Gynecology Physician
  • Merrillville, IN
National Provider Identifier
1104197516
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01029174A Issued in IN
Legal business name
PRINN K STANG MD
Practice address
99 E 86TH Ave
Suite B
Merrillville, IN 46410-6267
Phone
(219) 738-3220
Fax
(219) 736-7164
NPI assigned
Jan 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. Prinn Stang, M.D.NPI 1669541686
Title
Administrator
Phone
(219) 738-3220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 01029174A IN Primary

Addresses

Primary practice location

99 E 86TH Ave
Suite B
Merrillville, IN 46410-6267

Mailing address

99 E 86TH Ave
Suite B
Merrillville, IN 46410-6267
Phone (219) 738-3220

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0955241Prinn K Stang MD99 E 86TH Ave Ste B, Merrillville, IN 46410Certificate of waiverDec 21, 2026

National Provider Directory

National Provider Directory

Locations

99 E 86th Ave
Ste B
Merrillville, IN 46410
Phone (219) 738-3220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2484/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1104197516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E 86TH AVE",
            "address_2": "SUITE B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106267",
            "telephone_number": "219-738-3220",
            "fax_number": "219-736-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E 86TH AVE",
            "address_2": "SUITE B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106267",
            "telephone_number": "219-738-3220",
            "fax_number": "219-736-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINN K STANG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "STANG",
        "authorized_official_first_name": "PRINN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-738-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01029174A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.