Indiana University Health la Porte Physicians Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INDIANA UNIVERSITY HEALTH LA PORTE PHYSICIANS INC

Practice address

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

Phone

(219) 362-6297

Fax

(219) 324-3061

NPI assigned

Jan 29, 2014

Organization subpart

No

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

Authorized official

Name

Gudsteinn Thor Thordarson

Title

President/Ceo

Phone

(219) 326-2555

Specialties & licenses 1

Addresses

Other identifiers 2

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Indiana University Health la Porte Physicians Inc

  • Multi-Specialty Clinic/Center
  • La Porte, IN
  • NPI 1760593776

  Member Of

  NPD member

Locations

Practitioners 3

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

• David Samuel Mendelowitz, MD

  • Surgery Physician
  • La Porte, IN
  • NPI 1588678940
  NPD (past)
• Suzanne Marie Smith, MSN, RN, CNS, FNP

  • Family Nurse Practitioner
  • Michigan City, IN
  • NPI 1073824314
  NPD (past)
• Carl M Wynter, M.D.

  • Cardiovascular Disease Physician
  • Columbus, OH
  • NPI 1881642585
  NPD (past)

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1164845095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 STATE ST",
            "address_2": "SUITE 1F",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503185",
            "telephone_number": "219-362-6297",
            "fax_number": "219-324-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 STATE ST",
            "address_2": "SUITE 1F",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503185",
            "telephone_number": "219-362-6297",
            "fax_number": "219-324-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH LA PORTE PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "THORDARSON",
        "authorized_official_first_name": "GUDSTEINN",
        "authorized_official_middle_name": "THOR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "219-326-2555"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "PENDING",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "6993350001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indiana University Health la Porte Hospital Inc
• Indiana University Health la Porte Hospital Inc (Community Health Center)
• Indiana University Health la Porte Hospital Inc
• Indiana University Health la Porte Hospital Inc
• Indiana University Health la Porte Hospital Inc (Community Health Center of LaPorte)
• Indiana University Health la Porte Physicians Inc
• Indiana University Health Laporte Hospital, Inc
• Indiana Unversity Health la Porte Hospital Inc
• Innovo Management, LLC
• Inspire Chiropractic LLC

• Durable Medical Equipment & Medical Supplies in La Porte, IN
• Providers in La Porte, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.