Active NPI
Wadie Salem Nimri
- Surgical Assistant
- Crown Point, IN
National Provider Identifier
1144545393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 03-227
- Practice address
- 5355 Commerce Dr
Crown Point, IN 46307-5325 - Phone
- (219) 756-0600
- Fax
- (219) 756-0608
- NPI assigned
- Mar 31, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 03-227 | IN | Primary |
Addresses
Primary practice location
5355 Commerce Dr
Crown Point, IN 46307-5325
Mailing address
5355 Commerce Dr
Crown Point, IN 46307-5325
Phone (219) 756-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03-227 | IN | MD | Surgical Assistant |
Interoperability endpoints
- https://api.platform.athenahealth.com/14289/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1144545393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5355 COMMERCE DR",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463075325",
"telephone_number": "219-756-0600",
"fax_number": "219-756-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5355 COMMERCE DR",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463075325",
"telephone_number": "219-756-0600",
"fax_number": "219-756-0608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMRI",
"first_name": "WADIE",
"middle_name": "SALEM",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-31",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IN",
"license": "03-227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.