NPIMap

Organization Active NPI

Medical Specialists Inc., P.C.

Doing business as Endocrinology Specialists

  • Endocrinology, Diabetes & Metabolism Physician
  • Munster, IN
National Provider Identifier
1194057778
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MEDICAL SPECIALISTS INC., P.C.
Doing business as
Endocrinology Specialists
Practice address
761-45TH Street
Ste 110
Munster, IN 46321
Phone
(219) 922-3020
Fax
(219) 922-3023
NPI assigned
Feb 5, 2010
Last updated
Jan 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Alexander A Stemer, MD
Title
President and Ceo
Phone
(219) 934-2461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X IN Primary

Addresses

Primary practice location

761-45TH Street
Ste 110
Munster, IN 46321

Mailing address

757-45TH Street
Ste 201
Munster, IN 46321
Phone (219) 934-2461

Other identifiers 1

IdentifierTypeStateIssuer
100157820MedicaidIN

Other names 1

  • Endocrinology Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Specialists7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1194057778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757-45TH STREET",
            "address_2": "STE 201",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-934-2461",
            "fax_number": "219-934-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761-45TH STREET",
            "address_2": "STE 110",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-922-3020",
            "fax_number": "219-922-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS INC., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "STEMER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "219-934-2461",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100157820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrinology Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 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.

Verify at the official NPI Registry.