NPIMap

Organization Active NPI

Midwest Medical Group, LLC

Doing business as Midwest Cardiovascular Specialists

  • Cardiovascular Disease Physician
  • Mishawaka, IN
National Provider Identifier
1194734483
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MIDWEST MEDICAL GROUP, LLC
Doing business as
Midwest Cardiovascular Specialists
Practice address
611 E Douglas Rd
Suite 208
Mishawaka, IN 46545-1464
Phone
(574) 232-5928
Fax
(574) 232-4888
NPI assigned
Aug 5, 2006
Last updated
Dec 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
William S. Sarnat, MDNPI 1346244746
Title
President
Phone
(574) 232-5928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

611 E Douglas Rd
Suite 208
Mishawaka, IN 46545-1464

Mailing address

611 E Douglas Rd
Suite 208
Mishawaka, IN 46545-1464
Phone (574) 232-5928

Other identifiers 1

IdentifierTypeStateIssuer
100223320AMedicaidIN

Other names 1

  • Midwest Cardiovascular Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

1755 Fulton St
Elkhart, IN 46514
Phone (219) 236-7191

837 Cedar St
Ste 420
South Bend, IN 46617
Phone (574) 232-5928

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1194734483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E DOUGLAS RD",
            "address_2": "SUITE 208",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451464",
            "telephone_number": "574-232-5928",
            "fax_number": "574-232-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E DOUGLAS RD",
            "address_2": "SUITE 208",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451464",
            "telephone_number": "574-232-5928",
            "fax_number": "574-232-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "SARNAT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-232-5928",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100223320A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Cardiovascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.