NPIMap

Organization Active NPI

Laporte Regional Physician Network

  • Neurology Physician
  • La Porte, IN
National Provider Identifier
1114038908
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
LAPORTE REGIONAL PHYSICIAN NETWORK
Practice address
1300 State St
Suite 1B
La Porte, IN 46350-3185
Phone
(219) 326-0000
Fax
(219) 326-0040
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Mary T McDermott
Title
Vice President, Coo
Phone
(219) 326-2489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1300 State St
Suite 1B
La Porte, IN 46350-3185

Mailing address

1100 Lincolnway
La Porte, IN 46350-3289
Phone (219) 326-2489

Other names 1

  • Lakeland Psychiatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lahs Internal Medicine28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1114038908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503289",
            "telephone_number": "219-326-2489",
            "fax_number": "219-326-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 STATE ST",
            "address_2": "SUITE 1B",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503185",
            "telephone_number": "219-326-0000",
            "fax_number": "219-326-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPORTE REGIONAL PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT, COO",
        "authorized_official_telephone_number": "219-326-2489"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Psychiatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.