Active NPI
William E Washington Jr MD P C
- Addiction Medicine (Internal Medicine) Physician
- Gary, IN
National Provider Identifier
1215124474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 01030968
- Legal business name
- WILLIAM E WASHINGTON JR MD P C
- Practice address
- 4844 Broadway
Gary, IN 46408-4509 - Phone
- (219) 985-2760
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William E Washington Jr., M.D.
- Title
- Owner
- Phone
- (219) 985-2760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 01030968 | IN | Primary |
Addresses
Primary practice location
4844 Broadway
Gary, IN 46408-4509
Mailing address
4844 Broadway
Gary, IN 46408-4509
Phone (219) 985-2760
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326844800000",
"number": "1215124474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4844 BROADWAY",
"city": "GARY",
"state": "IN",
"postal_code": "464084509",
"telephone_number": "219-985-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4844 BROADWAY",
"city": "GARY",
"state": "IN",
"postal_code": "464084509",
"telephone_number": "219-985-2760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM E WASHINGTON JR MD P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2012-01-18",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-985-2760",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": "IN",
"license": "01030968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.