Healthpartners Medical Group, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

HEALTHPARTNERS MEDICAL GROUP, LLC

Practice address

2307 Laporte Ave
Suite 8
Valparaiso, IN 46383-6997

Phone

(219) 476-8855

Fax

(219) 476-8840

NPI assigned

Apr 7, 2009

Organization subpart

Yes

Parent organization

HEALTHPARTNERS MEDICAL GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Brian Donnelly

Title

Executive Vice President

Phone

(219) 873-2905

Specialties & licenses 1

Addresses

Part of

Healthpartners Medical Group LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Franciscan Health Lafayette

  • Home Infusion Therapy Pharmacy
  • Lafayette, IN
  • NPI 1275616351

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Healthpartners Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Michigan City, IN
  • NPI 1013014158
  NPPES parent name

Practitioners 3

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

• Janice Englander Katz, PH. D., H.S.P.P.

  • Clinical Psychologist
  • Michigan City, IN
  • NPI 1265595854
  NPD (past)
• Christopher Dennis Powers, MD

  • Cardiovascular Disease Physician
  • Marion, IN
  • NPI 1992702096
  NPD (past)
• Jeffrey Samelson, PHD

  • Clinical Psychologist
  • Michigan City, IN
  • NPI 1801866223
  NPD (past)

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1154564110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35294 EAGLE WAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606781352",
            "telephone_number": "219-879-6531",
            "fax_number": "219-872-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 LAPORTE AVE",
            "address_2": "SUITE 8",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836997",
            "telephone_number": "219-476-8855",
            "fax_number": "219-476-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPARTNERS MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHPARTNERS MEDICAL GROUP, LLC",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "219-873-2905"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthlinc, Inc
• Healthlinc, Inc
• Healthlinc, Inc.
• Healthlinc, Inc.
• Healthlinc, Inc.
• Matthew William Hearn, DDS MD
• Heart to Heart Hospice of Northwest Indiana LLC
• Heather L. Jozwiak OD PC
• Brittany Lynn Heideman, CAPRC 1
• Eric Andrew Hein, D.D.S.

• Urgent Care Clinic/Center in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Urgent Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.