Active NPI
Erica Lynne Yamout, D.O.
- Pediatrics Physician
- Munster, IN
National Provider Identifier
1154583060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 02004197A
- Practice address
- 1946 45TH Ave
Munster, IN 46321-3917 - Phone
- (219) 924-7794
- NPI assigned
- Jul 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21650 | MS | |
| Pediatrics Physician | 208000000X | 02004197A | IN | Primary |
Addresses
Primary practice location
1946 45TH Ave
Munster, IN 46321-3917
Mailing address
1624 Timberwood LN
Munster, IN 46321-3542
Phone (219) 595-5217
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02004197A | IN | MD | Pediatrics Physician |
| 21650 | MS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geetha Sivam MD | Pediatrics | Current | Accepting new patients |
| Tae'Ni Chang-Stroman M.D., P.C. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Highland, IN
- NPI 1396040572
-
- Pediatrics Physician
- Dyer, IN
- NPI 1255487138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1154583060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 TIMBERWOOD LN",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213542",
"telephone_number": "219-595-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1946 45TH AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213917",
"telephone_number": "219-924-7794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMOUT",
"first_name": "ERICA",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "21650",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "02004197A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.